Provider Demographics
NPI:1689709388
Name:MEMPHIS WOMEN'S HEALTHCARE, INC
Entity Type:Organization
Organization Name:MEMPHIS WOMEN'S HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVINIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEYMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-272-0060
Mailing Address - Street 1:6060 PRIMACY PKWY STE 251
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5751
Mailing Address - Country:US
Mailing Address - Phone:901-272-0060
Mailing Address - Fax:901-272-2749
Practice Address - Street 1:6060 PRIMACY PKWY STE 251
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5751
Practice Address - Country:US
Practice Address - Phone:901-272-0060
Practice Address - Fax:901-272-2749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0018497207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty