Organization
KIDZCARE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALING ADMIN)
(910) 483-7337
Entity
Organization
Contact information
Practice address
413 W MAIN ST, WILLIAMSTON, NC 27892-2319
(252) 792-4410
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
10/21/2020
Last updated
10/31/2022
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