Provider Demographics
NPI:1316036353
Name:WOMEN'S HEALTH ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:WOMEN'S HEALTH ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIKORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-420-0265
Mailing Address - Street 1:1050 RIVER OAKS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9564
Mailing Address - Country:US
Mailing Address - Phone:601-420-0265
Mailing Address - Fax:601-936-9245
Practice Address - Street 1:1050 RIVER OAKS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9564
Practice Address - Country:US
Practice Address - Phone:601-420-0265
Practice Address - Fax:601-936-9245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09015292Medicaid
MSC02707Medicare ID - Type Unspecified