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Organization

VALLEY PEDIATRIC GROUP, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA TAYLOR HUMPHRIES CMM, CPC (ADMINISTRATOR)
(540) 949-5862
Entity
Organization

Contact information

Practice address
108 COMMUNITY DR, WAYNESBORO, VA 22980-9505
(540) 949-0118
(540) 932-2059
Mailing address
108 COMMUNITY DR, WAYNESBORO, VA 22980-9505
(540) 949-0118
(540) 932-2059

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
05/08/2006
Last updated
09/12/2014
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