Organization
CAROLINA WOMEN'S HEALTH PAVILION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS DELORIS FOSKEY (OFFICE MANAGER)
(910) 938-0900
Entity
Organization
Contact information
Practice address
247 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 938-0900
(910) 355-0404
Mailing address
247 MEMORIAL DR, P.O. BOX 12033, JACKSONVILLE, NC 28546-6333
(910) 938-0900
(910) 355-0404
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20584
NC
251S00000X
Community/Behavioral Health Agency
20584
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014NM
BCBSNC
NC
05
—
89014NM
—
NC
Enumeration date
07/18/2007
Last updated
09/08/2008
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