Organization
CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLICIA NELSON (EXEC DIR-PAYOR FINANCIAL RELATIONS)
(301) 572-6281
Entity
Organization
Contact information
Practice address
1801 MISSISSIPPI AVE SE, WASHINGTON, DC 20020-6120
(202) 436-3060
Mailing address
PO BOX 745842, ATLANTA, GA 30374-5842
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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