Organization
WOMEN'S HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS E ELIACIN M.D. (OWNER)
(434) 792-1330
Entity
Organization
Contact information
Practice address
513 PINEY FOREST RD, LOWER LEVEL, DANVILLE, VA 24540-3353
(434) 792-1330
(434) 792-2924
Mailing address
513 PINEY FOREST RD, LOWER LEVEL, DANVILLE, VA 24540-3353
(434) 792-1330
(434) 792-2924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101041452
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006233058
—
VA
01
—
053798
ANTHEM BLUE CROSS
VA
01
—
46151
OPTIMA
VA
01
—
890546P
NORTH CAROLINA MEDICAID
NC
Enumeration date
02/23/2007
Last updated
06/16/2010
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