Provider Demographics
NPI:1194120386
Name:WOMEN'S HEALTH & ORTHOPEDICS, LLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH & ORTHOPEDICS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:850-326-2329
Mailing Address - Street 1:PO BOX 1166
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-1166
Mailing Address - Country:US
Mailing Address - Phone:843-540-2109
Mailing Address - Fax:843-593-8044
Practice Address - Street 1:300 NEW RIVER PKWY
Practice Address - Street 2:SUITE 31
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-4450
Practice Address - Country:US
Practice Address - Phone:843-540-2109
Practice Address - Fax:843-593-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7093261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy