Provider Demographics
NPI:1609862028
Name:ABINGDON HEALTHCARE FOR WOMEN PLLC
Entity Type:Organization
Organization Name:ABINGDON HEALTHCARE FOR WOMEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:REPLOGLE
Authorized Official - Last Name:STRAWBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-258-2732
Mailing Address - Street 1:PO BOX 2196
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24212-2196
Mailing Address - Country:US
Mailing Address - Phone:276-258-2732
Mailing Address - Fax:276-258-2735
Practice Address - Street 1:16000 JOHNSTON MEMORIAL DR
Practice Address - Street 2:SUITE 212
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211
Practice Address - Country:US
Practice Address - Phone:276-258-2732
Practice Address - Fax:276-258-2735
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABINGDON PHYSICIAN PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-21
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06395Medicare ID - Type Unspecified