Woodlake Village Pediatrics Llc in Midlothian - Specialist
Woodlake Village Pediatrics Llc - NPI 1578681946
Woodlake Village Pediatrics Llc is a Specialist in Midlothian, Virginia. Woodlake Village Pediatrics Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Woodlake Village Pediatrics Llc is 1578681946. The last update date is 2008-05-22.
Woodlake Village Pediatrics Llc's current location address is 14732 Village Square Place, Midlothian, Virginia. You can contact this provider via phone number 8046390717 and fax number 8046390767. The mailing address for Woodlake Village Pediatrics Llc is 14732 Village Square Place, Midlothian, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woodlake Village Pediatrics Llc |
|---|---|
| Address | 14732 Village Square Place, Midlothian, Virginia |
| Phone Number | 8046390717 |
| Fax Number | 8046390767 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Diane Jennifer |
| Credentials | MD |
| Telephone Number | 8046390717 |
NPI Number Detail
| NPI Number | 1578681946 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 14732 Village Square Place |
|---|---|
| City | Midlothian |
| State | Virginia (VA) |
| Post Code | 231122253 |
| Phone Number | 8046390717 |
| Fax Number | 8046390767 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101056329 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Woodlake Village Pediatrics Llc by the Centers for Medicare & Medicaid Services?
The Woodlake Village Pediatrics Llc has been issued the NPI (National Provider Identifier) 1578681946, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Woodlake Village Pediatrics Llc?
The Woodlake Village Pediatrics Llc is situated at 14732 Village Square Place, in the city of Midlothian, state of VA, with the zip code 231122253.
What is Woodlake Village Pediatrics Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Woodlake Village Pediatrics Llc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Woodlake Village Pediatrics Llc receive the assignment of its 1578681946 from the Centers for Medicare & Medicaid Services?
The Woodlake Village Pediatrics Llc was issued its 1578681946 by the Centers for Medicare & Medicaid Services on 2007-03-26.
When was the information regarding Woodlake Village Pediatrics Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Woodlake Village Pediatrics Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-22.