Renaissance Pediatrics PC

NPI #1427061340 in Chesapeake, Virginia

Provider Information

NPI Number: 1427061340
Entity Type: Organization
Organization Name: Renaissance Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Aug 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4012 RAINTREE RD
Address 2: SUITE 200A
City: Chesapeake
State: Virginia
ZIP Code: 23321-3741
Phone: (757) 488-2223

Authorized Official

Name: SANDRA S BAUCOM, MD
Title: PRESIDENT
Phone: (757) 488-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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