PEDIATRIC PRIMARY CARE PC NPI 1225118532

NPI Information

PEDIATRIC PRIMARY CARE, PC 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. PEDIATRIC PRIMARY CARE, PC NPI is 1225118532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 POCOSHOCK PL
SUITE 302
RICHMOND, VA
ZIP 23235-345
Phone: (804) 674-1985
Fax: (804) 276-1048

The provider's authorized official is Susan Lewis Pillsbury David .
The authorized official title is President and has the following contact phone number (804) 674-1985.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/10/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.