Organization
CHILDREN'S HOSPITAL
Active
Other names
Children's National Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLICIA NELSON (REIMBURSEMENT OFFICER)
(301) 572-6281
Entity
Organization
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-4447
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
HFD01-0208
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000900168
—
VA
05
—
027980100
—
DC
05
—
028125900
—
DC
05
—
658091200
—
MD
Enumeration date
04/17/2007
Last updated
09/25/2019
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