Southside Pediatric Center
NPI #1477750024 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1477750024
- Entity Type
- Organization
- Organization Name
- Southside Pediatric Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 400 SOUTHPARK BLVD STE D
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-2974
- Phone
- (804) 520-8135
Authorized Official
- Name
- MARY CATHERINE ARRIETA, MD
- Title
- PRESIDENT
- Phone
- (804) 520-8135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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