Provider Demographics
NPI:1467047738
Name:WOMENS HEALTH SPECIALISTS, PC
Entity Type:Organization
Organization Name:WOMENS HEALTH SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CARDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-290-3293
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63902-0550
Mailing Address - Country:US
Mailing Address - Phone:573-785-4601
Mailing Address - Fax:573-776-6127
Practice Address - Street 1:2340 KATY LN
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2300
Practice Address - Country:US
Practice Address - Phone:573-290-3293
Practice Address - Fax:887-849-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health