Children's Health Care Center of Nova

NPI #1982859484 in Manassas, Virginia

Provider Information

NPI Number: 1982859484
Entity Type: Organization
Organization Name: Children's Health Care Center of Nova
Primary Specialty: Pediatrics
Enumeration Date: Nov 25, 2008
Last Updated: Jan 18, 2011

Practice Location

Address: 9001 DIGGES RD STE 106
City: Manassas
State: Virginia
ZIP Code: 20110-4414
Phone: (703) 392-5437

Authorized Official

Name: DR. BRYAN WALLACE MCEACHERN, M.D., F.A.A.P.
Title: CEO/MD
Phone: (703) 392-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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