Stonewall Pediatrics

NPI #1093922726 in Lexington, Virginia

Provider Information

NPI Number: 1093922726
Entity Type: Organization
Organization Name: Stonewall Pediatrics
Primary Specialty: Specialist
Enumeration Date: May 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 108 HOUSTON ST
Address 2: SUITE E
City: Lexington
State: Virginia
ZIP Code: 24450-2455
Phone: (540) 463-3162

Authorized Official

Name: DR. WILLIAM M JACOBS, MD
Title: PEDIATRICIAN - PRESIDENT
Phone: (540) 463-3162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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