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Organization
PRIVIA WOMENS HEALTH LLC
Active
Organization
PRIVIA WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY IVESS (ASSOCIATE DIRECTOR, CREDENTIALING)
(571) 366-8831
Entity
Organization
Contact information
Practice address
7611 FOREST AVE STE 200, RICHMOND, VA 23229-4946
(571) 366-8850
Mailing address
950 N GLEBE RD STE 4000, ARLINGTON, VA 22203-1824
(571) 366-8850
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
NULL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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