Organization
KIDZCARE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALS MANAGER)
(910) 483-7337
Entity
Organization
Contact information
Practice address
20 SOUTHEND CT, HAMPSTEAD, NC 28443
(910) 270-3673
(910) 270-0529
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
118386
NC
Other
Enumeration date
07/17/2015
Last updated
08/27/2021
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