MEDICARE: CHILDRENS ORTHOPEDIC CENTER

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	0101047136	VA

General Provider Information

NPI Number	:	1962469304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDRENS ORTHOPEDIC CENTER

Provider Business Mailing Address
First Line	:	1011 HIOAKS RD
Second Line	:	STE D
City	:	RICHMOND
State	:	VA
Zip	:	23225
Country	:	US
Telephone Number	:	804-272-0726
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 HIOAKS RD
Second Line	:	STE D
City	:	RICHMOND
State	:	VA
Zip	:	23225
Country	:	US
Telephone Number	:	804-272-0726
Fax Number	:

Authorized Official
Title or Position	:	MD OWNER
Name	:	DR. SUSAN E ATKINS
Credential	:	MD
Telephone Number	:	804-272-0726

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	08/04/2008

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