Provider Demographics
NPI:1164489696
Name:WOMEN'S HEALTH ALLIANCE, P.A.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH ALLIANCE, P.A.
Other - Org Name:CARY OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:H
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-848-4080
Mailing Address - Street 1:550 NEW WAVERLY PL STE 200
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7412
Mailing Address - Country:US
Mailing Address - Phone:919-467-0304
Mailing Address - Fax:919-655-0532
Practice Address - Street 1:550 NEW WAVERLY PL
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7412
Practice Address - Country:US
Practice Address - Phone:919-467-5941
Practice Address - Fax:919-655-0532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0117COtherBCBS
NC590202QMedicaid
NC0117COtherBCBS