Provider Demographics
NPI:1386360147
Name:WOMENS HEALTH PROFESSIONALS PLLC
Entity type:Organization
Organization Name:WOMENS HEALTH PROFESSIONALS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-715-2060
Mailing Address - Street 1:1755 GUNBARREL RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3185
Mailing Address - Country:US
Mailing Address - Phone:423-654-7902
Mailing Address - Fax:423-777-4580
Practice Address - Street 1:1755 GUNBARREL RD STE 205
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3185
Practice Address - Country:US
Practice Address - Phone:423-654-7902
Practice Address - Fax:423-777-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty