Provider Demographics
NPI:1457373425
Name:CAROLINE PEDIATRICS PLC
Entity Type:Organization
Organization Name:CAROLINE PEDIATRICS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-448-5445
Mailing Address - Street 1:17470 CENTER DR STE 4A
Mailing Address - Street 2:
Mailing Address - City:RUTHER GLEN
Mailing Address - State:VA
Mailing Address - Zip Code:22546-2881
Mailing Address - Country:US
Mailing Address - Phone:804-448-5445
Mailing Address - Fax:804-448-8776
Practice Address - Street 1:17470 CENTER DR STE 4A
Practice Address - Street 2:
Practice Address - City:RUTHER GLEN
Practice Address - State:VA
Practice Address - Zip Code:22546-2881
Practice Address - Country:US
Practice Address - Phone:804-448-5445
Practice Address - Fax:804-448-8776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty