Organization
CHILDREN FIRST PEDIATRICS OF VIRGINIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELIZABETH NOONAN M.D. (PEDIATRICIAN/OWNER)
(276) 638-5437
Entity
Organization
Contact information
Practice address
314 FAIRY STREET EXT, SUITE A, MARTINSVILLE, VA 24112-1913
(276) 638-5437
(276) 666-6686
Mailing address
314 FAIRY STREET EXT, SUITE A, MARTINSVILLE, VA 24112-1913
(276) 638-5437
(276) 666-6686
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101240119
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010323444
—
VA
Enumeration date
06/29/2016
Last updated
05/16/2024
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