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NPI Code Detail

MEDICARE: CHILDRENS PHYSICIAN GROUP INC

MEDICARE: CHILDRENS PHYSICIAN 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 : 1457218984
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDRENS PHYSICIAN GROUP INC
Provider Business Mailing Address
First Line : 601 CHILDRENS LN
Second Line :
City : NORFOLK
State : VA
Zip : 23507-1910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8264 GEORGE WASHINGTON MEMORIAL HWY
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-4127
Country : US
Telephone Number : 804-695-0305
Fax Number :
Authorized Official
Title or Position : SENIOR VP/CFO
Name : KATHRYN ABSHIRE
Credential :
Telephone Number : 757-668-8565
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “CHILDRENS PHYSICIAN GROUP INC ” Practice Location

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