Provider Demographics
NPI:1740483791
Name:CAROLINA WOMEN S RESEARCH AND WELLNESS CENTER
Entity type:Organization
Organization Name:CAROLINA WOMEN S RESEARCH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-251-9223
Mailing Address - Street 1:PO BOX 61721
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27715-1721
Mailing Address - Country:US
Mailing Address - Phone:919-544-6318
Mailing Address - Fax:919-544-6336
Practice Address - Street 1:249 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 330
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7512
Practice Address - Country:US
Practice Address - Phone:919-251-9223
Practice Address - Fax:919-251-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906993Medicaid
NC232087Medicare PIN