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Organization
NITELITE PEDIATRIC URGENT CARE, PA
Active
Organization
NITELITE PEDIATRIC URGENT CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FOX MD (OWNER)
(919) 946-0604
Entity
Organization
Contact information
Practice address
1519 E BOOKER DAIRY RD STE B, SMITHFIELD, NC 27577-9472
(919) 205-1735
Mailing address
1519 E BOOKER DAIRY RD STE B, SMITHFIELD, NC 27577-9472
(919) 205-1735
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
NULL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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