| Stafford Pediatrics, P.c. | |
|
385 Garrisonville Rd Suite 209 Stafford VA 22554-1545 | |
| (540) 659-0111 | |
| (540) 720-5867 |
| Full Name | Stafford Pediatrics, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 385 Garrisonville Rd, Stafford, Virginia |
| Authorized Official Name and Position | William Michael Carr (PEDIATRICIAN, SOLE PRACTITIONER, PR) |
| Authorized Official Contact | 5406590111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Pediatrics, P.c. 385 Garrisonville Rd Suite 209 Stafford VA 22554-1545 Ph: (540) 659-0111 | Stafford Pediatrics, P.c. 385 Garrisonville Rd Suite 209 Stafford VA 22554-1545 Ph: (540) 659-0111 |
| NPI Number | 1447382940 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 11/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447382940 | NPI | - | NPPES |
| 6780073 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101036605 (Virginia) | Primary |
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