Organization
OB-GYN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALFRED HOLYFIELD M.D. (PRESIDENT)
(276) 638-8881
Entity
Organization
Contact information
Practice address
315 HOSPITAL DR, SUITE 201, MARTINSVILLE, VA 24112-1927
(276) 638-8881
(276) 638-3268
Mailing address
315 HOSPITAL DR, SUITE 201, MARTINSVILLE, VA 24112-1927
(276) 638-8881
(276) 638-3268
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101028353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006242731
—
VA
01
—
015582
ANTHEM BCBS
VA
Enumeration date
07/28/2006
Last updated
09/14/2010
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