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Organization
HENRICO PEDIATRICS, P.C.
Active
Organization
HENRICO PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI S. WILSON M.D. (PRESIDENT)
(804) 288-3069
Entity
Organization
Contact information
Practice address
7605 FOREST AVENUE, SUITE 102, RICHMOND, VA 23229-4936
(804) 288-3069
(804) 288-5464
Mailing address
7605 FOREST AVENUE, SUITE 102, RICHMOND, VA 23229-4936
(804) 288-3069
(804) 288-5464
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
12/06/2016
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