Provider Demographics
NPI:1497714901
Name:CAROLINA WOMEN'S HEALTH ASSOCIATES, PA
Entity Type:Organization
Organization Name:CAROLINA WOMEN'S HEALTH ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:704-636-9270
Mailing Address - Street 1:911 W HENDERSON ST
Mailing Address - Street 2:STE. 300
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2736
Mailing Address - Country:US
Mailing Address - Phone:704-636-9270
Mailing Address - Fax:
Practice Address - Street 1:911 W HENDERSON ST
Practice Address - Street 2:STE. 300
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2736
Practice Address - Country:US
Practice Address - Phone:704-636-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39390207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8902596Medicaid
NC8902596Medicaid