Organization Name: | FAIR RIDGE OB/GYN ASSOCIATES , PC |
NPI Number: | 1043392434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER JAMES HODGES (PRESIDENT) |
Mailing Address: | 4001 Fair Ridge Dr 202 Fairfax |
State: | VA US |
Postal Code: | 220332917 |
Phone Number: | 7035912223 |
Fax Number: | 7035912270 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |