Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0101053909 | VA |
NPI | 1114917895 |
---|---|
Provider Name | Dr. Teresa L Clawson |
First Address | Winchester, VA 22604-8060 |
Second Address | Winchester, VA 22601-2808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 30/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006718442 | (05) | VA |
0110415000 | (05) | WV |
120591 | SOUTHERN HEALTH (01) | |
1881983 | (05) | PA |
200509800 | (05) | IN |
231639 | ANTHEM BC/BS (01) | VA |
231639 | BS TRIGON (01) | |
400188500 | (05) | MD |
541855193 | ACORDIA (01) | |
541855193 | CHAMPUS (01) | |
541855193 | CHIR (01) | |
541855193 | GWHC (01) | |
541855193 | MAMSI (01) |