Provider Demographics
NPI:1639397185
Name:WOMENS TOTAL HEALTH CARE
Entity Type:Organization
Organization Name:WOMENS TOTAL HEALTH CARE
Other - Org Name:WILLIE L MCCLOUD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCCLOUD
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-322-5440
Mailing Address - Street 1:7703 BARLOWE RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4124
Mailing Address - Country:US
Mailing Address - Phone:301-322-5440
Mailing Address - Fax:301-772-7863
Practice Address - Street 1:7703 BARLOWE RD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4124
Practice Address - Country:US
Practice Address - Phone:301-322-5440
Practice Address - Fax:301-772-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0021440207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty