Provider Demographics
NPI:1245205889
Name:APEX WOMENS SERVICES PLLC
Entity Type:Organization
Organization Name:APEX WOMENS SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-248-0072
Mailing Address - Street 1:PO BOX 2700
Mailing Address - Street 2:
Mailing Address - City:MIDDLESBORO
Mailing Address - State:KY
Mailing Address - Zip Code:40965
Mailing Address - Country:US
Mailing Address - Phone:606-248-0072
Mailing Address - Fax:606-248-0250
Practice Address - Street 1:2004 CUMBERLAND AVE
Practice Address - Street 2:APEX WOMENS SERVICES
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965
Practice Address - Country:US
Practice Address - Phone:606-248-0072
Practice Address - Fax:606-248-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37990207V00000X
TNMD0000029482207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64027410Medicaid
KY65939944Medicaid
KY65939944Medicaid
KY7813Medicare ID - Type UnspecifiedGROUP
KY64027410Medicaid