Provider Demographics
NPI:1780999425
Name:ALABAMA WOMEN'S WELLNESS CENTER, P.C.
Entity type:Organization
Organization Name:ALABAMA WOMEN'S WELLNESS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASHICA
Authorized Official - Middle Name:ROBINSON
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-356-2910
Mailing Address - Street 1:313 GUINEVERE CT
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-2549
Mailing Address - Country:US
Mailing Address - Phone:205-356-2910
Mailing Address - Fax:334-209-0094
Practice Address - Street 1:2125 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6041
Practice Address - Country:US
Practice Address - Phone:205-356-2910
Practice Address - Fax:334-209-0094
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALABAMA WOMEN'S WELLNESS CENTER, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-17
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27133207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty