Organization
GYNECOLOGY & WELLNESS CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M GUNNELS (OFFICE MANAGER)
(334) 502-9888
Entity
Organization
Contact information
Practice address
2290 MOORES MILL ROAD, SUITE 200, AUBURN, AL 36830
(334) 502-9888
(334) 502-9190
Mailing address
2290 MOORES MILL ROAD, SUITE 200, AUBURN, AL 36830
(334) 502-9888
(334) 502-9190
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20979
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51503912
BCBS OF AL
AL
Enumeration date
04/06/2007
Last updated
07/06/2012
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