Organization
LELAND PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO AUSTRIA (PRACTICE MANAGER)
(910) 383-3883
Entity
Organization
Contact information
Practice address
509 OLDE WATERFORD WAY, SUITE 203, LELAND, NC 28451-4125
(910) 383-3883
Mailing address
509 OLDE WATERFORD WAY, SUITE 203, LELAND, NC 28451-4125
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2001-00118
NC
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
Update your record
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