Provider Demographics
NPI:1679651715
Name:PHYSICIANS TO WOMEN, INC.
Entity Type:Organization
Organization Name:PHYSICIANS TO WOMEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSGRAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-982-8881
Mailing Address - Street 1:21 HIGHLAND AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2201
Mailing Address - Country:US
Mailing Address - Phone:540-982-8881
Mailing Address - Fax:540-982-0501
Practice Address - Street 1:21 HIGHLAND AVE SE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24013-2201
Practice Address - Country:US
Practice Address - Phone:540-982-8881
Practice Address - Fax:540-982-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC00300Medicare PIN