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
Update your record
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