Organization
EAST ALABAMA WOMENS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWEN MINDA COOPER MD (PRESIDENT)
(334) 349-0390
Entity
Organization
Contact information
Practice address
502 E THOMASON CR, OPELIKA, AL 36801
(334) 749-0390
(334) 742-9165
Mailing address
502 E THOMASON CR, OPELIKA, AL 36801
(334) 749-0390
(334) 742-9165
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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