Organization
WOMENS HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL E BACKER MD (OWNER/ PHYSICIAN)
(804) 815-9381
Entity
Organization
Contact information
Practice address
6506 MAIN ST, GLOUCESTER, VA 23061-6103
(804) 684-5043
Mailing address
PO BOX 2298, GLOUCESTER, VA 23061
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101226169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010137900
—
VA
Enumeration date
02/04/2010
Last updated
01/05/2012
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