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Contact Information

PEDIATRIX MEDICAL GROUP PC
800 PENNSYLVANIA AVE
CHARLESTON, WV25302-3351
 Phone: 304-388-2252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIX MEDICAL GROUP PC · (Female)

NPI # 1992728117
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2006
Last updated 08/21/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • WV Medicaid 0007020000
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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