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Organization

HUGUENOT PEDIATRICS

Active
Parent organization
PEDIATRIC PARTNERS OF VIRGINIA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC PARTNERS OF VIRGINIA, LLC
Authorized official
GLORIA BERRY (ADMINISTRATOR)
(804) 794-2299
Entity
Organization

Contact information

Practice address
1407 HUGUENOT RD, MIDLOTHIAN, VA 23113-2618
(804) 794-2299
(804) 794-5774
Mailing address
1407 HUGUENOT ROAD, MIDLOTHIAN, VA 23113
(804) 794-2299
(804) 794-5774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/03/2013
Last updated
12/03/2013
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