| NPI Details | |
|---|---|
| NPI | 1043313653 |
| Enumeration Date | 09/07/2006 |
| Last Updated | 06/27/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | TERESA LOIS TERESA |
| Position | MD |
| Phone | (910) 455-5000 |
| Fax | (910) 455-7083 |
| Practice Location | |
|---|---|
| 219 STATION STREET JACKSONVILLE NC, 28546, US |
|
| Phone | (910) 455-5000 |
| Fax | (910) 455-7083 |
| Business Location | |
|---|---|
| 219 STATION STREET JACKSONVILLE NC, 28546, US |
|
| Phone | (910) 455-5000 |
| Fax | (910) 455-7083 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207VG0400X |
| License State | North Carolina |
| License Number | 30273 |
| Remove 1043313653 NPI Number | |
According to our database, The Womens Clinic NPI is 1043313653, taxonomy code is 207VG0400X and license number is 30273, license state is located at North Carolina. The Womens Clinic physically located at 219 Station Street, Jacksonville NC, 28546. NPI Number 1033115704 has the healthcare provider type.
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1043313653 NPI number is provided on an as is basis without warranty of any kind. 1043313653 is maintained by the National Plan & Provider Enumeration System. The contents of The Womens Clinic are for informational purposes only.
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