Provider Demographics
NPI:1336151372
Name:TOTAL WOMAN OB/GYN, P.C.
Entity Type:Organization
Organization Name:TOTAL WOMAN OB/GYN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:765-733-0051
Mailing Address - Street 1:959 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-4079
Mailing Address - Country:US
Mailing Address - Phone:765-733-0051
Mailing Address - Fax:765-733-0067
Practice Address - Street 1:959 E 4TH ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-4079
Practice Address - Country:US
Practice Address - Phone:765-733-0051
Practice Address - Fax:765-733-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty