Organization
SHADY GROVE PEDIATRICS, PC
Active
Other names
King George Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA ZAVELSKY MD (PHYSICIAN/OWNER)
(540) 775-6891
Entity
Organization
Contact information
Practice address
11127 JOURNAL PKWY, KING GEORGE, VA 22485-3468
(540) 775-6891
(540) 775-6894
Mailing address
11127 JOURNAL PKWY, KING GEORGE, VA 22485-3468
(540) 775-6891
(540) 775-6894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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