Provider Demographics
NPI:1851498398
Name:CHILDRENS CHOICE, P.C.
Entity type:Organization
Organization Name:CHILDRENS CHOICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:GEHRZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-674-8900
Mailing Address - Street 1:PO BOX 969
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:VA
Mailing Address - Zip Code:24084-0969
Mailing Address - Country:US
Mailing Address - Phone:540-674-8900
Mailing Address - Fax:540-674-9121
Practice Address - Street 1:5562 COUGAR TRAIL ROAD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:VA
Practice Address - Zip Code:24084
Practice Address - Country:US
Practice Address - Phone:540-674-8900
Practice Address - Fax:540-674-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050249208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty