# BRANDERMILL PEDIATRIC & ADOLESCENT MEDICINE PC

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

## Provider details

- **NPI number:** 1871639658
- **Authorized official:** MRS. JUDITH F MCGHEE MD (OWNER)
- **Authorized official phone:** (804) 744-1231

## Contact information

- **Practice address:** 4902 MILLRIDGE PKWY E, MIDLOTHIAN, VA 23112-4828
- **Practice address phone:** (804) 744-1231
- **Practice address fax:** (804) 744-9521
- **Mailing address:** 4902 MILLRIDGE PKWY E, MIDLOTHIAN, VA 23112-4828
- **Mailing address phone:** (804) 744-1231
- **Mailing address fax:** (804) 744-9521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 0101030363 | VA | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020