Healthcare Provider Details

I. General information

NPI: 1235429952
Provider Name (Legal Business Name): WHOLE WOMAN'S HEALTH OF BALTIMORE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7648 BELAIR RD
BALTIMORE MD
21236-4088
US

IV. Provider business mailing address

1001 E MARKET ST STE 200
CHARLOTTESVILLE VA
22902-5381
US

V. Phone/Fax

Practice location:
  • Phone: 410-661-2900
  • Fax: 888-724-3239
Mailing address:
  • Phone: 888-737-9615
  • Fax: 888-724-3239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIRGINIA E SMITH
Title or Position: MEDICAL BILLING OPERATIONS MANAGER
Credential:
Phone: 434-422-2061