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CHILDRENS MEDICAL GROUP INC NPI 1366597114


NPI Information

NPI: 1366597114
Provider Name: CHILDRENS MEDICAL GROUP INC

Doing Business As: GENERAL BOOTH PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D1014909

Address:
2088 PRINCESS ANNE RD
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 668-6700
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CHILDRENS MEDICAL GROUP INC is a pediatrics in Virginia Beach, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILDRENS MEDICAL GROUP INC NPI is 1366597114. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As General Booth Pediatrics.

The provider's business location address is:

2088 PRINCESS ANNE RD
VIRGINIA BEACH, VA
ZIP 23456-014
Phone: (757) 668-6700
Fax: (757) 668-6690

The provider's authorized official is Dennis Michael Ryan .
The authorized official title is Senior Vp Cfo and has the following contact phone number (757) 668-8565.

The CLIA number assigned to this NPI record is 49D1014909 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 12/7/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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