Organization
CHILDRENS MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B LAFAVE MD (PRESIDENT CHILDRENS MEDICAL CENTER)
(276) 632-9714
Entity
Organization
Contact information
Practice address
15 CLEVELAND AVENUE, SUITE 14 CHILDREN MEDICAL CENTER LTD, MARTINSVILLE, VA 24112
(276) 632-9714
(276) 632-0620
Mailing address
15 CLEVELAND AVENUE, SUITE 14 CHILDREN MEDICAL CENTER LTD, MARTINSVILLE, VA 24112
(276) 632-9714
(276) 632-0620
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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