Organization
KIDZCARE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALING COORDINATOR)
(910) 483-7337
Entity
Organization
Contact information
Practice address
904 MORVEN RD STE 100, WADESBORO, NC 28170-2834
(704) 994-2300
(704) 994-2353
Mailing address
5617 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
Update your record
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