CHILDREN & ADOLESCENTS CLINIC INC NPI 1750471850

NPI Information

  • NPI: 1750471850
  • Provider Name: CHILDREN & ADOLESCENTS CLINIC, INC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 49D0869008
  • Address: 308 N 4TH AVE
    HOPEWELL, VA
    ZIP 23860
  • Phone: (804) 541-8812

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NPI Details

CHILDREN & ADOLESCENTS CLINIC, INC is an adolescent medicine pediatrics in Hopewell, VA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CHILDREN & ADOLESCENTS CLINIC, INC NPI is 1750471850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

308 N 4TH AVE
HOPEWELL, VA
ZIP 23860-506
Phone: (804) 541-8812
Fax: (804) 541-1396

The provider's authorized official is Charuwan Siri .
The authorized official title is President and has the following contact phone number (804) 541-8812.

The CLIA number assigned to this NPI record is 49D0869008 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine0101032006VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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