Provider Demographics
NPI:1982739454
Name:ALL WOMENS HEALTHCARE PA
Entity Type:Organization
Organization Name:ALL WOMENS HEALTHCARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT OF COMPANY
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BIRCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-775-2390
Mailing Address - Street 1:1832 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5057
Mailing Address - Country:US
Mailing Address - Phone:919-775-2390
Mailing Address - Fax:919-774-2390
Practice Address - Street 1:1832 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5057
Practice Address - Country:US
Practice Address - Phone:919-775-2390
Practice Address - Fax:919-774-2390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TERESA T BIRCHARD MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-23
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401369207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC019AGOtherBCBS
NC7458819OtherCIGNA
NCB1132OtherMEDCOST
NC0701672OtherUNITED HEALTHCARE
NC5950161Medicaid
NCB1132OtherMEDCOST
NC2045294AMedicare PIN