Organization
CHILDREN & ADOLESCENTS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARUWAN SIRI M.D. (PRESIDENT)
(804) 541-8812
Entity
Organization
Contact information
Practice address
308 N 4TH AVE, HOPEWELL, VA 23860-2506
(804) 541-8812
(804) 541-1396
Mailing address
308 N 4TH AVE, HOPEWELL, VA 23860-2506
(804) 541-8812
(804) 541-1396
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101032006
VA
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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