Provider Demographics
NPI:1891521167
Name:EPIPHANY WOMEN'S HEALTH
Entity type:Organization
Organization Name:EPIPHANY WOMEN'S HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO, MD
Authorized Official - Phone:309-264-2046
Mailing Address - Street 1:82 PLANTATION POINTE
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2962
Mailing Address - Country:US
Mailing Address - Phone:407-832-4501
Mailing Address - Fax:309-204-6991
Practice Address - Street 1:8050 SPRING RUN DR
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3854
Practice Address - Country:US
Practice Address - Phone:251-990-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty