Organization
CHILDREN'S CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN H BLALOCK JR JR. MD (PRESIDENT)
(757) 595-0358
Entity
Organization
Contact information
Practice address
23 MANHATTAN SQUARE, HAMPTON, VA 23666
(757) 595-0358
(757) 595-6745
Mailing address
23 MANHATTAN SQUARE, HAMPTON, VA 23666
(757) 595-0358
(757) 595-6745
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101035213
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006703828
—
VA
05
—
006716962
—
VA
05
—
006729932
—
VA
05
—
006769187
—
VA
05
—
006797059
—
VA
05
—
010043859
—
VA
01
—
1104821339
NPI NUMBER
VA
01
—
1316942550
NPI NUMBER
VA
01
—
1467457697
NPI NUMBER
VA
01
—
1619972833
NPI NUMBER
VA
01
—
1639174436
NPI NUMBER
VA
01
—
1699770826
NPI NUMBER
VA
01
—
1891790028
NPI NUMBER
VA
01
—
1972508778
NPI NUMBER
VA
Enumeration date
09/13/2006
Last updated
08/28/2024
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