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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADY GROVE PEDIATRICS, PC

Active Organization

Pediatrics · KING GEORGE, VA

Registration Details

NPI Number
1285064758
Provider Type
Organization
NPI Issued
Nov 20, 2013 (12.448661267033 yrs)
Last Updated
Nov 20, 2013

Practice Information

Address
11127 JOURNAL PKWY
KING GEORGE, VA, 224853468
Browse VA providers · Browse ZIP 22485
Phone
5407756891
Fax
5407756894
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Organizations in KING GEORGE, VA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.