Organization
TOTAL WOMEN'S CARE OB-GYN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELORES LORRAINE JOHNSON MD (OWNER)
(910) 565-3925
Entity
Organization
Contact information
Practice address
375 TEAL DR, RAEFORD, NC 28376-2527
(910) 565-3925
(910) 565-3922
Mailing address
375 TEAL DR, RAEFORD, NC 28376-2527
(910) 565-3925
(910) 565-3922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200400525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189136XM
—
NC
Enumeration date
11/15/2009
Last updated
11/15/2009
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