Total Women's Care OB-GYN, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

200400525 Issued in NC

Legal business name

TOTAL WOMEN'S CARE OB-GYN, PA

Practice address

375 Teal Dr
Raeford, NC 28376-2527

Phone

(910) 565-3925

Fax

(910) 565-3922

NPI assigned

Nov 15, 2009

Last updated

Nov 15, 2009By 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

Dr. Delores Lorraine Johnson, MD

Title

Owner

Phone

(910) 565-3925

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258243200000",
    "number": "1861729626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 TEAL DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762527",
            "telephone_number": "910-565-3925",
            "fax_number": "910-565-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 TEAL DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762527",
            "telephone_number": "910-565-3925",
            "fax_number": "910-565-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WOMEN'S CARE OB-GYN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-15",
        "last_updated": "2009-11-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-565-3925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200400525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189136XM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Raeford, NC
• Providers in Raeford, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2009; 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.