MEDICARE: ASSOCIATES IN PEDIATRIC CARE, P.C.

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
1	208000000X	Pediatrics Physician	03850963	VA

General Provider Information

NPI Number	:	1245337682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN PEDIATRIC CARE, P.C.

Provider Business Mailing Address
First Line	:	930 MAJESTIC AVE
Second Line	:	SUITE 200
City	:	NORFOLK
State	:	VA
Zip	:	23504-4055
Country	:	US
Telephone Number	:	757-627-5705
Fax Number	:	757-640-0954

Provider Business Practice Location Address
First Line	:	930 MAJESTIC AVE
Second Line	:	SUITE 200
City	:	NORFOLK
State	:	VA
Zip	:	23504-4055
Country	:	US
Telephone Number	:	757-627-5705
Fax Number	:	757-640-0954

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL WALKER
Credential	:	M.D.
Telephone Number	:	757-627-5705

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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