Organization
CHIPPENHAM PEDIATRIC SPECIALISTS LLC
Active
Other names
CJW Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VICE PRESIDENT)
(800) 661-3365
Entity
Organization
Contact information
Practice address
101 COWARDIN AVE, STE. 207, RICHMOND, VA 23224-2078
(804) 237-7761
(804) 864-5216
Mailing address
101 COWARDIN AVE, STE. 207, RICHMOND, VA 23224-2078
(804) 237-7761
(804) 864-5216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760548259
—
VA
Enumeration date
12/29/2006
Last updated
07/21/2022
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