PRINCE EDWARD PEDIATRICS

FARMVILLE, VA
NPI1447668199
Entity TypeOrganization
Authorized ContactIBTEHAL AL-ANI
Phyician
434-315-0138
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: VA  0101242689)
Enumeration Date2014-07-25
Last Update Date2014-07-25
Business Address
PRINCE EDWARD PEDIATRICS
1715 W 3RD ST
FARMVILLE, VA 23901-2651
Phone number: 434-315-0138
Mailing Address
PRINCE EDWARD PEDIATRICS
PO BOX 97
RICE, VA 23966-0097
Phone number: 434-315-0138