Provider Demographics
NPI:1104817246
Name:WOMENS HEALTH ALLIANCE OF THE PIEDMONT PA
Entity type:Organization
Organization Name:WOMENS HEALTH ALLIANCE OF THE PIEDMONT PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QUINCY
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:336-765-2802
Mailing Address - Street 1:1900 S HAWTHORNE RD
Mailing Address - Street 2:STE 162
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3913
Mailing Address - Country:US
Mailing Address - Phone:336-765-2802
Mailing Address - Fax:336-765-0022
Practice Address - Street 1:1900 S HAWTHORNE RD
Practice Address - Street 2:STE 162
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3913
Practice Address - Country:US
Practice Address - Phone:336-765-2802
Practice Address - Fax:336-765-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty