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Organization
PEDIATRIC ASSOCIATES PC
Active
Organization
PEDIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ELMORE (PRACTICE MANAGER)
(804) 320-7139
Entity
Organization
Contact information
Practice address
1001 HIOAKS RD, RICHMOND, VA 23225-4029
(804) 320-7139
(804) 323-0153
Mailing address
1001 HIOAKS RD, RICHMOND, VA 23225-4029
(804) 320-7139
(804) 323-0153
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
0017139437
VA
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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