Organization
MED-PEDS MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JANET MOLE (PRACTICE MGR CORP. SECRETARY)
(276) 623-8105
Entity
Organization
Contact information
Practice address
191 JOHNSON ST NE, ABINGDON, VA 24210-2934
(276) 623-8105
(276) 623-8109
Mailing address
PO BOX 570, ABINGDON, VA 24212-0570
(276) 623-8105
(276) 623-8109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051200
VA
207R00000X
Internal Medicine Physician
0101225410
VA
208000000X
Pediatrics Physician
0101028204
VA
208000000X
Pediatrics Physician
0101050628
VA
208000000X
Pediatrics Physician
0101051074
VA
208000000X
Pediatrics Physician
0101059370
VA
363LF0000X
Family Nurse Practitioner
0024059099
VA
363LF0000X
Family Nurse Practitioner
0024166814
VA
Other
Enumeration date
02/05/2007
Last updated
11/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us