The Womans Clinic

NPI #1922255967 in Crestview, Florida

Provider Information

NPI Number
1922255967
Entity Type
Organization
Organization Name
The Womans Clinic
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Aug 21, 2008
Last Updated
Aug 21, 2008

Practice Location

Address
492 N WILSON ST
State
Florida
ZIP Code
32536-3442
Phone
(850) 682-5332

Authorized Official

Name
DR. JOHN DALE CARLSON I, M.D.
Title
PRESIDENT
Phone
(850) 682-5332

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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