Basic Information
| Provider Information | |||||||||
| NPI: | 1164506424 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NWMC-WINFIELD PHYSICIAN PRACTICES, LLC | ||||||||
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| OtherOrganizationName: | WOMENS SPECIALTY CLINIC | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1349 | ||||||||
| Address2: | |||||||||
| City: | WINFIELD | ||||||||
| State: | AL | ||||||||
| PostalCode: | 355941349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2054877979 | ||||||||
| FaxNumber: | 2054877982 | ||||||||
| Practice Location | |||||||||
| Address1: | 191 CARRAWAY DR | ||||||||
| Address2: | UNIT B | ||||||||
| City: | WINFIELD | ||||||||
| State: | AL | ||||||||
| PostalCode: | 355945067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2054877979 | ||||||||
| FaxNumber: | 2054877982 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | TSIMPIDES | ||||||||
| AuthorizedOfficialFirstName: | GEORGE | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF CLINIC OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 2059798861 | ||||||||
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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.