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Organization

WINFIELD OB/GYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEMIE P WEATHERLY (OFFICE MANAGER)
(205) 487-1203
Entity
Organization

Contact information

Practice address
191 CARAWAY DR, SUITE A1, WINFIELD, AL 35594-5067
(205) 487-1203
(205) 487-1205
Mailing address
191 CARAWAY DR, SUITE A1, WINFIELD, AL 35594-5067
(205) 487-1203
(205) 487-1205

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12079
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51520459
BLUE CROSS
AL
Enumeration date
06/19/2006
Last updated
08/22/2020
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