# CHARLOTTESVILLE WOMENS SERVICES PLC

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

## Provider details

- **NPI number:** 1710966056
- **Authorized official:** DR. JULIE L BLOMMEL MD (OWNER)
- **Authorized official phone:** (434) 244-4590

## Contact information

- **Practice address:** 1490 PANTOPS MOUNTAIN PL, SUITE 105, CHARLOTTESVILLE, VA 22911-4601
- **Practice address phone:** (434) 244-4590
- **Practice address fax:** (434) 244-4592
- **Mailing address:** 1490 PANTOPS MOUNTAIN PL, SUITE 105, CHARLOTTESVILLE, VA 22911-4601
- **Mailing address phone:** (434) 244-4590
- **Mailing address fax:** (434) 244-4592

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2006
- **Last updated:** 06/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CH8536 | MEDICARE PIN | VA |