Organization Name: | GYNECOLOGY OF ST. MARY'S |
NPI Number: | 1013192111 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMILY J WINDHAM (MD) |
Mailing Address: | 41650 Courthouse Drive Suite 200 Leonardtown |
State: | MD US |
Postal Code: | 20650 |
Phone Number: | 3014752805 |
Fax Number: | 3014757184 |
NPI Enumeration Date: | 01/08/2008 |
NPI Last Update Date: | 01/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | D35536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |