Provider Demographics
NPI:1881886463
Name:WOMEN'S HEALTH SPECTRUM LLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH SPECTRUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:EUGENIA
Authorized Official - Last Name:YOUNGER-EURE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:276-632-2999
Mailing Address - Street 1:319 HOSPITAL DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1929
Mailing Address - Country:US
Mailing Address - Phone:276-632-2999
Mailing Address - Fax:276-632-1551
Practice Address - Street 1:319 HOSPITAL DR
Practice Address - Street 2:SUITE 204
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1929
Practice Address - Country:US
Practice Address - Phone:276-632-2999
Practice Address - Fax:276-632-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202073207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty