Organization
GROWING CHILD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESI CUNA (DIRECTOR OF BILLING)
91948800015
Entity
Organization
Contact information
Practice address
4551 NEW BERN AVE, SUITE 160, RALEIGH, NC 27610-1551
(919) 861-7793
(919) 488-1458
Mailing address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-4094
(919) 488-4096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006881
—
NC
05
—
890137Q
—
NC
Enumeration date
12/06/2010
Last updated
12/06/2010
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