Organization
TOTAL WOMAN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY K. MCILVEEN (PRACTICE ADMINISTRATOR)
(336) 526-3500
Entity
Organization
Contact information
Practice address
942 JOHNSON RIDGE RD, ELKIN, NC 28621-2212
(336) 526-3500
(336) 526-3508
Mailing address
942 JOHNSON RIDGE RD, ELKIN, NC 28621-2212
(336) 526-3500
(336) 526-3508
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
200300501
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913340
—
NC
Enumeration date
04/09/2007
Last updated
07/11/2013
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