Provider Demographics
NPI:1740619600
Name:COMMONWEALTH WOMEN'S CARE, LLC
Entity Type:Organization
Organization Name:COMMONWEALTH WOMEN'S CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHYREL
Authorized Official - Middle Name:E
Authorized Official - Last Name:STONER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-365-0250
Mailing Address - Street 1:135 COMMONWEALTH DRIVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615
Mailing Address - Country:US
Mailing Address - Phone:864-365-0250
Mailing Address - Fax:864-365-0251
Practice Address - Street 1:135 COMMONWEALTH DR
Practice Address - Street 2:SUITE 230
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4831
Practice Address - Country:US
Practice Address - Phone:864-365-0250
Practice Address - Fax:864-365-0251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMD14087OtherLICENSE FOR DR. DAVID GODWIN
SCMD11149OtherLICENSE DR. EVERETT FULLER
SCMD11149OtherLICENSE DR. CHYREL STONER