Provider Demographics
NPI:1609214485
Name:RSA MEDICAL LLC
Entity Type:Organization
Organization Name:RSA MEDICAL LLC
Other - Org Name:WOMEN'S HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROWELL
Authorized Official - Middle Name:S
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-788-5164
Mailing Address - Street 1:1900 CORPORATE DR
Mailing Address - Street 2:P.O. BOX 380155
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2723
Mailing Address - Country:US
Mailing Address - Phone:205-788-5164
Mailing Address - Fax:205-788-5167
Practice Address - Street 1:1925 AVENUE E
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35218-1619
Practice Address - Country:US
Practice Address - Phone:205-788-5164
Practice Address - Fax:205-788-5167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21275207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty