Healthcare Provider Details

I. General information

NPI: 1508189721
Provider Name (Legal Business Name): WOMEN'S CARE OF ARLINGTON, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 LEE HIGHWAY SUITE 101
ARLINGTON VA
22207
US

IV. Provider business mailing address

5275 LEE HIGHWAY SUITE 101
ARLINGTON VA
22207
US

V. Phone/Fax

Practice location:
  • Phone: 703-358-8700
  • Fax: 703-358-8703
Mailing address:
  • Phone: 703-358-8700
  • Fax: 703-358-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101241845
License Number StateVA

VIII. Authorized Official

Name: JOY MICHELLE HOPPER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 703-358-8700