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Individual

DR. MARCELLA E CHILDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 CONSTITUTION DR, SUITE 217, VIRGINIA BEACH, VA 23462-6799
(757) 499-7442
(757) 490-3638
Mailing address
100 CONSTITUTION DR, SUITE 217, VIRGINIA BEACH, VA 23462-6799
(757) 499-7442
(757) 490-3638

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101235969
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912977687
VA
Enumeration date
01/25/2006
Last updated
12/11/2012
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