Individual
HANNAH PHILLIPS PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3350 BERKMAR DRIVE, CHARLOTTESVILLE, VA 22901
(434) 923-4651
(434) 964-3636
Mailing address
3350 BERKMAR DRIVE, CHARLOTTESVILLE, VA 22901
(434) 923-4651
(434) 964-3636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101054281
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010218039
—
VA
01
—
181058
ANTHEM HEALTHKEEPERS
VA
01
—
31710300001
SOUTHERN HEALTH
VA
01
—
542013472
TAX ID #
VA
Enumeration date
05/24/2005
Last updated
06/28/2013
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