Basic Information
| Provider Information | |||||||||
| NPI: | 1326280363 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WOMEN'S BIRTH & WELLNESS CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 930 MARTIN LUTHER KING JR BLVD | ||||||||
| Address2: | STE. 202 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275142656 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 930 MARTIN LUTHER KING JR BLVD | ||||||||
| Address2: | STE. 202 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275142656 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199333301 | ||||||||
| FaxNumber: | 9199333375 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2009 | ||||||||
| LastUpdateDate: | 04/06/2009 | ||||||||
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| AuthorizedOfficialLastName: | HONEA | ||||||||
| AuthorizedOfficialFirstName: | BRIANNA | ||||||||
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| AuthorizedOfficialTitleorPosition: | BUSINESS DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9199333301 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QB0400X | NC | Y | Ambulatory Health Care Facilities | Clinic/Center | Birthing |
No ID Information.