| Pediatric Headache Center Of Richmond, Pllc | |
|
2500 Gaskins Rd Suite B Richmond VA 23238-1480 | |
| (804) 658-5385 | |
| Not Available |
| Full Name | Pediatric Headache Center Of Richmond, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2500 Gaskins Rd, Richmond, Virginia |
| Authorized Official Name and Position | Alison E Alford (OWNER) |
| Authorized Official Contact | 8046585385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Headache Center Of Richmond, Pllc 2500 Gaskins Rd Suite B Richmond VA 23238-1480 Ph: (804) 658-5385 | Pediatric Headache Center Of Richmond, Pllc 2500 Gaskins Rd Suite B Richmond VA 23238-1480 Ph: (804) 658-5385 |
| NPI Number | 1326411190 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 01/15/2016 |
| Medicare PECOS PAC ID | 3274834023 |
|---|---|
| Medicare Enrollment ID | O20151221000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326411190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 0101247187 (Virginia) | Primary |
| Provider Name | Alison E Alford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194934596 PECOS PAC ID: 0446445100 Enrollment ID: I20101109000125 |
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