Organization
GLOUCESTER PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA ANNE ALLISON-BRYAN M.D. (PRESIDENT)
(804) 694-0011
Entity
Organization
Contact information
Practice address
7574 HOSPITAL DR., GLOUCESTER, VA 23061-0700
(804) 694-0011
(804) 693-0355
Mailing address
PO BOX 700, 7574 HOSPITAL DR., GLOUCESTER, VA 23061-0700
(804) 694-0011
(804) 693-0355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095240
ANTHEM BCBS
VA
Enumeration date
10/10/2006
Last updated
07/21/2022
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