Healthcare Provider Details

I. General information

NPI: 1255358065
Provider Name (Legal Business Name): PEDIATRICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10571 TELEGRAPH ROAD SUITE 110
GLEN ALLEN VA
23059
US

IV. Provider business mailing address

10571 TELEGRAPH ROAD SUITE 110
GLEN ALLEN VA
23059
US

V. Phone/Fax

Practice location:
  • Phone: 804-266-9616
  • Fax: 804-461-4935
Mailing address:
  • Phone: 804-266-9616
  • Fax: 804-461-4935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LIV G SCHNEIDER
Title or Position: PRESIDENT
Credential: MD
Phone: 804-266-9616