Individual
KRISTINA NAZARETH-PIDGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2335
(252) 744-3811
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-01961
NC
208000000X
Pediatrics Physician
LP02256
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114210366
—
NC
01
—
19QWD
BCBS OF NC
NC
01
—
NCX181A
MEDICARE
NC
Enumeration date
05/20/2011
Last updated
10/18/2017
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