Organization
GROWING CHILD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESI CUNA (DIRECTOR OF BILLING)
(919) 488-0015
Entity
Organization
Contact information
Practice address
500 GATEWAY DR, CLAYTON, NC 27520-2158
(919) 585-9001
(919) 488-1719
Mailing address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-4094
(919) 488-4096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006881
—
NC
05
—
890137Q
—
NC
Enumeration date
12/06/2010
Last updated
12/06/2010
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