# PEDIATRIC PRIMARY CARE, PC

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

## Provider details

- **NPI number:** 1225118532
- **Authorized official:** SUSAN LEWIS PILLSBURY DAVID MD (PRESIDENT)
- **Authorized official phone:** (804) 674-1985

## Contact information

- **Practice address:** 2500 POCOSHOCK PL, SUITE 302, RICHMOND, VA 23235-6345
- **Practice address phone:** (804) 674-1985
- **Practice address fax:** (804) 276-1048
- **Mailing address:** 2500 POCOSHOCK PL, SUITE 302, RICHMOND, VA 23235-6345
- **Mailing address phone:** (804) 674-1985
- **Mailing address fax:** (804) 276-1048

## 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:** 11/10/2009