Provider Demographics
NPI:1902183114
Name:TODAY'S WOMAN PC
Entity Type:Organization
Organization Name:TODAY'S WOMAN PC
Other - Org Name:CELIO F POU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CELIO
Authorized Official - Middle Name:F
Authorized Official - Last Name:POU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-393-4700
Mailing Address - Street 1:1805 N JACKSON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-2290
Mailing Address - Country:US
Mailing Address - Phone:931-393-4700
Mailing Address - Fax:931-393-4713
Practice Address - Street 1:1805 N JACKSON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-2290
Practice Address - Country:US
Practice Address - Phone:931-393-4700
Practice Address - Fax:931-393-4713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000030635173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3828825Medicaid
TN3828825Medicaid