Healthcare Provider Details

I. General information

NPI: 1053417196
Provider Name (Legal Business Name): WOMEN'S HEALTH SERVICES OF CENTRAL VIRGINIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 NATIONWIDE DR
LYNCHBURG VA
24502-4271
US

IV. Provider business mailing address

114 NATIONWIDE DR
LYNCHBURG VA
24502-4271
US

V. Phone/Fax

Practice location:
  • Phone: 434-239-7890
  • Fax: 434-237-9222
Mailing address:
  • Phone: 434-239-7890
  • Fax: 434-237-9222

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: EBONY GALLOWAY
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 434-237-9233