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Organization

PEDIATRICS, INC

Active
Parent organization
PEDIATRICS, INC
Other names
Pediatric Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRICS, INC
Authorized official
ANNEMARIE G TULL M.D. (VICE PRESIDENT)
(805) 545-5050
Entity
Organization

Contact information

Practice address
10571 TELEGRAPH RD, SUITE 110, GLEN ALLEN, VA 23059-4652
(804) 266-9616
(804) 261-4935
Mailing address
10571 TELEGRAPH RD, SUITE 110, GLEN ALLEN, VA 23059-4652
(804) 266-9616
(804) 261-4935

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024170051
VA

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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