MEDICARE: TODAYS HEALTHCARE CENTER FOR WOMEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	44918	VA

General Provider Information

NPI Number	:	1063786002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TODAYS HEALTHCARE CENTER FOR WOMEN

Provider Business Mailing Address
First Line	:	2103 FALL HILL AVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-3428
Country	:	US
Telephone Number	:	540-361-1611
Fax Number	:	540-361-4750

Provider Business Practice Location Address
First Line	:	2103 FALL HILL AVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-3428
Country	:	US
Telephone Number	:	540-361-1611
Fax Number	:	540-361-4750

Authorized Official
Title or Position	:	PRESIDENT/PHYSICIAN
Name	:	DR. DOUGLAS ROBERT MEYER
Credential	:	M.D.
Telephone Number	:	540-361-1611

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	03/07/2012

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