NPI 1093922726

Stonewall Pediatrics

Organisation Specialist Lexington, VA

Practice location

Address: 108 Houston St Suite E, Lexington, VA 24450-2455
Phone: (540) 463-3162
Fax: (540) 463-3213

Authorised official

Name: William M Jacobs
Title: Pediatrician - President
Phone: (540) 463-3162

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0101030878 (VA)

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Registry record

NPI: 1093922726
Entity type: Organization
NPI issued: 16 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.