Provider Demographics
NPI:1770627929
Name:COMPLETE WOMEN'S CARE OF ALABAMA, PC
Entity Type:Organization
Organization Name:COMPLETE WOMEN'S CARE OF ALABAMA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-664-9995
Mailing Address - Street 1:1010 1ST ST N
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8608
Mailing Address - Country:US
Mailing Address - Phone:205-664-9995
Mailing Address - Fax:205-621-9327
Practice Address - Street 1:1010 1ST ST N
Practice Address - Street 2:SUITE 350
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8608
Practice Address - Country:US
Practice Address - Phone:205-664-9995
Practice Address - Fax:205-621-9327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529920720Medicaid
ALK074Medicare ID - Type Unspecified