Women'S Health Center of Greenville

Primary specialty

SpecialistTaxonomy code 174400000X

License

9501300 Issued in NC

Legal business name

WOMEN'S HEALTH CENTER OF GREENVILLE

Practice address

2317 A Executive Park Circle
Greenville, NC 27834

Phone

(252) 830-1035

Fax

(252) 830-0827

NPI assigned

Dec 23, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Gwendolyn Knuckles, MD

Title

Owner

Phone

(252) 830-1035

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1396014148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 A EXECUTIVE PARK CIRCLE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-830-1035",
            "fax_number": "252-830-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 A EXECUTIVE PARK CIRCLE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-830-1035",
            "fax_number": "252-830-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH CENTER OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "KNUCKLES",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-830-1035",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9501300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9501300",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Maria Wollenschlager
• Robin Mark Wolschendorf, MD
• Kimberly M. Womack, SLP
• Zachary Joseph Womack, ATC, LAT
• Kinsey Owens Womble, LCSW
• Jan Howe Wong, M.D.
• Kristian Mark Wontroba
• John Woo, D.O.
• Amy Louise Wood, MD
• Jessica Alice Wood, MS, LMFT

• Specialist in Greenville, NC
• Providers in Greenville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.