Organization
MID-ATLANTIC WOMENS CARE PLC
Active
Parent organization
MID-ATLANTIC WOMENS CARE PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-ATLANTIC WOMENS CARE PLC
Authorized official
REX G WATERBURY MD (PHYSICIAN)
(757) 461-3890
Entity
Organization
Contact information
Practice address
828 HEALTHY WAY, SUITE 330, VIRGINIA BEACH, VA 23462-7958
(757) 461-3890
(757) 467-0301
Mailing address
828 HEALTHY WAY, SUITE 330, VIRGINIA BEACH, VA 23462-7958
(757) 461-3890
(757) 467-0301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1701004447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05062
C05062
VA
Enumeration date
11/15/2012
Last updated
01/30/2018
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