Organization
DANVILLE WOMEN'S CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK CARL MAUTE III M.D. (PRESIDENT)
(434) 797-4620
Entity
Organization
Contact information
Practice address
927 S MAIN ST, DANVILLE, VA 24541-4001
(434) 797-4620
(434) 793-8992
Mailing address
927 S MAIN ST, DANVILLE, VA 24541-4001
(434) 797-4620
(434) 793-8992
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051065
ANTHEM
VA
05
—
890165E
—
NC
01
—
CM9223
RAILROAD MEDICARE
VA
Enumeration date
05/20/2006
Last updated
12/18/2007
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