Provider Demographics
NPI:1518157668
Name:BARWICK, ELIZABETH C (DO)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:BARWICK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 ELECTRIC RD STE 1030
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-7474
Mailing Address - Country:US
Mailing Address - Phone:540-774-6000
Mailing Address - Fax:540-772-3838
Practice Address - Street 1:1802 BRAEBURN DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7357
Practice Address - Country:US
Practice Address - Phone:540-772-3520
Practice Address - Fax:540-772-5975
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102202944207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1518157668Medicaid
VAP00993146Medicare PIN
VAVV3780AMedicare PIN