Organization
PEDIATRIC & ADOLESCENT HEALTH PARTNERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SERENA C TALLEY (ADMINISTRATOR)
(804) 794-2821
Entity
Organization
Contact information
Practice address
13821 VILLAGE MILL DR, SUITE A, MIDLOTHIAN, VA 23114-4365
(804) 794-2821
(804) 794-4072
Mailing address
PO BOX 549, MIDLOTHIAN, VA 23113-0549
(804) 794-2821
(804) 794-4072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
01/12/2009
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