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NPI Code Detail

MEDICARE: CHILDRENS MEDICAL GROUP INC

MEDICARE: CHILDRENS MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1366597114
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDRENS MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 601 CHILDRENS LN
Second Line :
City : NORFOLK
State : VA
Zip : 23507-1910
Country : US
Telephone Number : 757-668-7017
Fax Number : 757-668-8929
Provider Business Practice Location Address
First Line : 2088 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-4014
Country : US
Telephone Number : 757-668-6700
Fax Number : 757-668-6690
Authorized Official
Title or Position : SENIOR VP/CFO
Name : KATHRYN J ABSHIRE
Credential :
Telephone Number : 757-668-8565
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/01/2025

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Directions to “CHILDRENS MEDICAL GROUP INC ” Practice Location

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