Provider Demographics
NPI:1326139031
Name:CENTRAL VA OB GYN ASSOCIATES
Entity Type:Organization
Organization Name:CENTRAL VA OB GYN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENARD
Authorized Official - Middle Name:ADKINS
Authorized Official - Last Name:CHARITY
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:804-231-9691
Mailing Address - Street 1:101 COWARDIN AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2078
Mailing Address - Country:US
Mailing Address - Phone:804-231-9691
Mailing Address - Fax:804-231-2241
Practice Address - Street 1:101 COWARDIN AVE STE 208
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2078
Practice Address - Country:US
Practice Address - Phone:804-231-9691
Practice Address - Fax:804-231-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C02871Medicare PIN