# HENRICO PEDIATRICS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104906841
- **Authorized official:** CRISTI S. WILSON M.D. (PRESIDENT)
- **Authorized official phone:** (804) 288-3069

## Contact information

- **Practice address:** 7605 FOREST AVENUE, SUITE 102, RICHMOND, VA 23229-4936
- **Practice address phone:** (804) 288-3069
- **Practice address fax:** (804) 288-5464
- **Mailing address:** 7605 FOREST AVENUE, SUITE 102, RICHMOND, VA 23229-4936
- **Mailing address phone:** (804) 288-3069
- **Mailing address fax:** (804) 288-5464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 12/06/2016