Organization
PEDIATRIC PARTNERS OF VIRGINIA, LLC
Active
Parent organization
PEDIATRIC PARTNERS OF VIRGINIA, LLC
Other names
Pediatric Partnership
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC PARTNERS OF VIRGINIA, LLC
Authorized official
DAVID SUTHERLAND (ADMINISTRATOR)
(804) 363-0270
Entity
Organization
Contact information
Practice address
5207 HICKORY PARK DR STE C, GLEN ALLEN, VA 23059-2624
(804) 377-8981
(804) 377-8984
Mailing address
5207 HICKORY PARK DR STE C, GLEN ALLEN, VA 23059-2624
(804) 377-8981
(804) 377-8984
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101051967
VA
Other
Enumeration date
11/22/2013
Last updated
11/23/2022
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