# WOMEN'S HEALTH CENTER OF SWVA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508030081
- **Authorized official:** WILLIAM TEDRICK JOHN (VP)
- **Authorized official phone:** (804) 237-7760

## Contact information

- **Practice address:** 101 1ST ST NW, SUITE 1, PULASKI, VA 24301-5603
- **Practice address phone:** (540) 980-9170
- **Practice address fax:** (540) 980-9175
- **Mailing address:** 101 1ST ST NW, SUITE 1, PULASKI, VA 24301-5603
- **Mailing address phone:** (540) 980-9170
- **Mailing address fax:** (540) 980-9175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 07/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1508030081 | — | VA |