Woodlake Village Pediatrics LLC
Woodlake Village Pediatrics LLC provides Specialist services in Midlothian, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14732 Village Square PlMidlothian, VA 23112-2253 Not confirmed with CMS for 18 years — call before visiting
Phone: (804) 639-0717
Fax: (804) 639-0767
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 0101056329 (VA) |
|---|
Record details
| NPI number | 1578681946 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Clark — Owner · (804) 639-0717 |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | May 22, 2008 |
| Mailing address | 14732 Village Square Place, Midlothian, VA 23112-2253 |
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Richard Edmund Waller, MD
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Lameisha W Weatherspoon
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Dr. Mark Xenakis, MD
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