Provider Demographics
NPI:1013399237
Name:UNIFIED WOMEN'S CLINICAL RESEARCH
Entity Type:Organization
Organization Name:UNIFIED WOMEN'S CLINICAL RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-397-3700
Mailing Address - Street 1:3015 MAPLEWOOD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4075
Mailing Address - Country:US
Mailing Address - Phone:336-397-3700
Mailing Address - Fax:
Practice Address - Street 1:3015 MAPLEWOOD AVE STE 203
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4075
Practice Address - Country:US
Practice Address - Phone:336-397-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIFIED PHYSICIAN MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty