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Contact Information

TARAH L HENDERSON TODERIC, DO
436 CLAIRMONT CT STE 100
COLONIAL HEIGHTS, VA23834-1765
 Phone: 804-526-2121
 Fax: 804-504-4634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TARAH L HENDERSON TODERIC · (Female)

NPI Number 1669950879
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/31/2018
Last updated 11/13/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 2572
  • GA License # 85873
  • VA License # 0102209788
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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