Organization
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Active
Other names
University Pediatrics at Chapel Hill North Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GRAN (COO)
(919) 843-4810
Entity
Organization
Contact information
Practice address
1838 MARTIN LUTHER KING JR BLVD, SUITE 19B, CHAPEL HILL, NC 27514-7415
(919) 960-5154
Mailing address
143 W FRANKLIN ST, CHAPEL HILL, NC 27516-2539
(919) 843-4810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690258N
—
NC
Enumeration date
07/18/2006
Last updated
10/07/2013
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