Provider Demographics
NPI:1568493377
Name:LENOIR WOMEN'S CARE PA
Entity Type:Organization
Organization Name:LENOIR WOMEN'S CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:252-527-7208
Mailing Address - Street 1:103 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-1603
Mailing Address - Country:US
Mailing Address - Phone:252-527-7208
Mailing Address - Fax:252-527-4639
Practice Address - Street 1:103 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1603
Practice Address - Country:US
Practice Address - Phone:252-527-7208
Practice Address - Fax:252-527-4639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0221VOtherBCBS
NC890221VMedicaid
NC2343909Medicare ID - Type Unspecified
NCC81771Medicare UPIN