Basic Information
| Provider Information | |||||||||
| NPI: | 1144384926 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MOREHEAD MEMORIAL HOSPITAL | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | WOMEN'S HEALTH CENTRE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 522 S VAN BUREN RD | ||||||||
| Address2: | |||||||||
| City: | EDEN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272885019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366271117 | ||||||||
| FaxNumber: | 3366275502 | ||||||||
| Practice Location | |||||||||
| Address1: | 522 S VAN BUREN RD | ||||||||
| Address2: | |||||||||
| City: | EDEN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272885019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366271117 | ||||||||
| FaxNumber: | 3366275502 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2006 | ||||||||
| LastUpdateDate: | 11/03/2010 | ||||||||
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| AuthorizedOfficialLastName: | HUNT | ||||||||
| AuthorizedOfficialFirstName: | TAMARA | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | VP OF PRACTICE MANAGEMENT | ||||||||
| AuthorizedOfficialTelephone: | 3366239711 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.