Organization
PIEDMONT PREFERRED WOMEN'S HEALTHCARE ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKUNDA ABDUL-MBACKE MD (PRESIDENT)
(276) 956-1013
Entity
Organization
Contact information
Practice address
6890 GREENSBORO RD, RIDGEWAY, VA 24148-3555
(276) 956-1013
Mailing address
6890 GREENSBORO RD, RIDGEWAY, VA 24148-3555
(276) 956-1013
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101241089
VA
Other
Enumeration date
05/09/2007
Last updated
06/20/2012
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