Organization
STAFFORD PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL CARR MD, FAAP (PEDIATRICIAN, SOLE PRACTITIONER, PR)
(540) 659-0111
Entity
Organization
Contact information
Practice address
385 GARRISONVILLE RD, SUITE 209, STAFFORD, VA 22554-1545
(540) 659-0111
(540) 720-5867
Mailing address
385 GARRISONVILLE RD, SUITE 209, STAFFORD, VA 22554-1545
(540) 659-0111
(540) 720-5867
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101036605
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6780073
—
VA
Enumeration date
03/10/2007
Last updated
11/08/2012
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