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Organization

KIDZCARE PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALING COORDINATOR)
(910) 483-7337
Entity
Organization

Contact information

Practice address
4095 BATTLEGROUND AVE, GREENSBORO, NC 27410-8410
(336) 763-9292
(336) 763-9491
Mailing address
PO BOX 9219, FAYETTEVILLE, NC 28311-9082
(336) 763-9292
(336) 763-9491

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/23/2015
Last updated
11/14/2022
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