# PEDIATRIC ASSOCIATES PC

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

## Provider details

- **NPI number:** 1346475076
- **Authorized official:** MS. KELLY ELMORE (PRACTICE MANAGER)
- **Authorized official phone:** (804) 320-7139

## Contact information

- **Practice address:** 1001 HIOAKS RD, RICHMOND, VA 23225-4029
- **Practice address phone:** (804) 320-7139
- **Practice address fax:** (804) 323-0153
- **Mailing address:** 1001 HIOAKS RD, RICHMOND, VA 23225-4029
- **Mailing address phone:** (804) 320-7139
- **Mailing address fax:** (804) 323-0153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0200X | Pediatric Clinical Nurse Specialist | 0017139437 | VA | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 05/26/2009