Provider Demographics
NPI:1740391200
Name:THE CENTER FOR WOMENS HEALTH
Entity type:Organization
Organization Name:THE CENTER FOR WOMENS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TOYA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DANZEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-383-8889
Mailing Address - Street 1:PO BOX 2585
Mailing Address - Street 2:122 W COLLEGE AVENUE
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550
Mailing Address - Country:US
Mailing Address - Phone:843-383-8889
Mailing Address - Fax:843-383-8868
Practice Address - Street 1:122 W COLLEGE AVENUE
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550
Practice Address - Country:US
Practice Address - Phone:843-383-8889
Practice Address - Fax:843-383-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16915207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3854Medicaid
SC16915OtherLICENSE
SC7888Medicare ID - Type Unspecified
SCGP3854Medicaid