Provider Demographics
NPI:1437251295
Name:ALL WOMEN'S CARE, PLLC
Entity type:Organization
Organization Name:ALL WOMEN'S CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEQUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-681-0103
Mailing Address - Street 1:1033 E LAMAR ALEXANDER PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5126
Mailing Address - Country:US
Mailing Address - Phone:865-681-0103
Mailing Address - Fax:865-681-9840
Practice Address - Street 1:1033 E LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5126
Practice Address - Country:US
Practice Address - Phone:865-681-0103
Practice Address - Fax:865-681-9840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNE49911Medicare UPIN
TN3064843Medicare ID - Type Unspecified