Organization
JAMES RIVER PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ZACHARY M.D. (PRESIDENT)
(804) 794-1072
Entity
Organization
Contact information
Practice address
1521 HUGUENOT RD, SUITE 101, MIDLOTHIAN, VA 23113-2474
(804) 794-1072
Mailing address
1521 HUGUENOT RD, SUITE 101, MIDLOTHIAN, VA 23113-2474
(804) 794-1072
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06797725
—
VA
01
—
0753949
CIGNA
—
01
—
082365
BC/BS
VA
01
—
087261
BC/BS GROUP
VA
01
—
1022006
CIGNA
VA
01
—
285503
SOUTHERN HEALTH
—
01
—
289596
BC/BS
VA
01
—
4511327
AETNA
—
01
—
677345
AETNA
VA
01
—
747879
AETNA
—
01
—
76893
VA PREMIER
—
01
—
7947576
AETNA
VA
01
—
8114312
MAMSI
VA
01
—
818402
MAMSI GROUP
—
01
—
818403
MAMSI
VA
Enumeration date
07/17/2007
Last updated
07/17/2007
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