Organization
WAYNE WOMENS CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C LIES MD (PRESIDENT)
(919) 734-3344
Entity
Organization
Contact information
Practice address
102 HANDLEY PARK CT, GOLDSBORO, NC 27534-1769
(919) 734-3344
(919) 735-3025
Mailing address
102 HANDLEY PARK CT, GOLDSBORO, NC 27534-1769
(919) 734-3344
(919) 735-3025
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902893
—
NC
Enumeration date
11/14/2005
Last updated
08/22/2020
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