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Organization

THE WOMENS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA LOIS ALVARADO MD (MD)
(910) 455-5000
Entity
Organization

Contact information

Practice address
219 STATION STREET, JACKSONVILLE, NC 28546
(910) 455-5000
(910) 455-7083
Mailing address
219 STATION STREET, JACKSONVILLE, NC 28546
(910) 455-5000
(910) 455-7083

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
30273
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10996
NC
Enumeration date
09/07/2006
Last updated
06/27/2008
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