Healthcare Provider Details

I. General information

NPI: 1518157668
Provider Name (Legal Business Name): ELIZABETH C BARWICK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 02/10/2022
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 BRAEBURN DR
SALEM VA
24153-7357
US

IV. Provider business mailing address

1900 ELECTRIC RD STE 1030
SALEM VA
24153-7474
US

V. Phone/Fax

Practice location:
  • Phone: 540-772-3520
  • Fax: 540-772-5975
Mailing address:
  • Phone: 540-774-6000
  • Fax: 540-772-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0102202944
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: