Provider Demographics
NPI:1326300989
Name:WOMACK, EMILY GAY (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GAY
Last Name:WOMACK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 HOSPITAL DR STE 240
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2390
Mailing Address - Country:US
Mailing Address - Phone:318-212-7931
Mailing Address - Fax:318-212-7935
Practice Address - Street 1:2400 HOSPITAL DR STE 240
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2390
Practice Address - Country:US
Practice Address - Phone:251-415-1557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.33069207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology