| Blacksburg Pediatrics, Plc | |
|
817 Davis St Suite A Blacksburg VA 24060-7004 | |
| (540) 443-3940 | |
| (540) 443-3944 |
| Full Name | Blacksburg Pediatrics, Plc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 817 Davis St, Blacksburg, Virginia |
| Authorized Official Name and Position | David Edwin Berry (MANAGER) |
| Authorized Official Contact | 5404433940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blacksburg Pediatrics, Plc 817 Davis St Suite A Blacksburg VA 24060-7004 Ph: (540) 443-3940 | Blacksburg Pediatrics, Plc 817 Davis St Suite A Blacksburg VA 24060-7004 Ph: (540) 443-3940 |
| NPI Number | 1548719859 |
|---|---|
| Provider Enumeration Date | 09/27/2016 |
| Last Update Date | 09/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548719859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0102052848 (Virginia) | Primary |
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