Womens Clinic of Dyersburg, PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

WOMENS CLINIC OF DYERSBURG, PLLC

Practice address

305 E Tickle St
Suite B
Dyersburg, TN 38024-3117

Phone

(731) 286-1319

Fax

(731) 287-0420

NPI assigned

Jun 27, 2006

Last updated

Mar 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy D Wilson

Title

Office Manager

Phone

(731) 286-1319

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1568499499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 INDUSTRIAL PARK ROAD",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "800-887-4359",
            "fax_number": "800-555-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E TICKLE ST",
            "address_2": "SUITE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243117",
            "telephone_number": "731-286-1319",
            "fax_number": "731-287-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CLINIC OF DYERSBURG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-286-1319"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC8704",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darnisha Williams
• Stephannie Raye Williams, CM
• Alicia Ann Wilson, RN, MSN, FNP-BC
• Rachael Eileen Wisdom, PHARMD
• James Hardy Wolfe, MD
• Brittney Leigh Woods, OTR/L
• Mary Katherine Woods, PHARMD
• Amber Danielle Woody
• Wound Care Clinic Esu Inc
• Jessica Wright, OT

• Gynecology Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.