Provider Demographics
NPI:1013479682
Name:NEW HEIGHTS PEDIATRICS, LLC
Entity Type:Organization
Organization Name:NEW HEIGHTS PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:AYANNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-441-0640
Mailing Address - Street 1:8117 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-7068
Mailing Address - Country:US
Mailing Address - Phone:540-441-0640
Mailing Address - Fax:
Practice Address - Street 1:8117 KINGS HWY
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-7068
Practice Address - Country:US
Practice Address - Phone:540-441-0640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty