HENRICO PEDIATRICS P.C. NPI 1104906841

NPI Information

HENRICO PEDIATRICS, P.C. is an adolescent medicine pediatrics in Richmond, VA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. HENRICO PEDIATRICS, P.C. NPI is 1104906841. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7605 FOREST AVENUE
SUITE 102
RICHMOND, VA
ZIP 23229-936
Phone: (804) 288-3069
Fax: (804) 288-5464

The provider's authorized official is Cristi S. Wilson .
The authorized official title is President and has the following contact phone number (804) 288-3069.

The CLIA number assigned to this NPI record is 49D0227539 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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