Organization
CLINIC FOR WOMEN, P.A.
Active
Parent organization
CLINIC FOR WOMEN, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINIC FOR WOMEN, P.A.
Authorized official
MS. AUDREY WEST (PRACTICE ADMINISTRATOR)
(256) 533-7420
Entity
Organization
Contact information
Practice address
8337 HIGHWAY 72 W, SUITE 201, MADISON, AL 35758-9573
(256) 533-7420
(256) 464-0789
Mailing address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12230
MEDICARE
AL
01
—
22645
MEDICARE
AL
01
—
22683
MEDICARE
AL
01
—
22684
MEDICARE
AL
01
—
26774
MEDICARE
AL
01
—
78546
MEDICARE
AL
Enumeration date
08/19/2008
Last updated
06/19/2012
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