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Organization

KIDZCARE PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALING SPECIALIST)
(910) 483-7337
Entity
Organization

Contact information

Practice address
1406 SOUTH MAIN STREET, LILLINGTON, NC 27546
(910) 984-8229
(910) 514-9717
Mailing address
PO BOX 9219, FAYETTEVILLE, NC 28311-9082
(910) 483-7337
(910) 483-0648

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
05/27/2014
Last updated
08/27/2021
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