Organization
ROCKINGHAM CHILDRENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELTON PHELPHS DAWSON MD (OWNER)
(336) 627-1141
Entity
Organization
Contact information
Practice address
705 S VAN BUREN RD, EDEN, NC 27288-5321
(336) 627-1141
(336) 627-1163
Mailing address
705 S VAN BUREN RD, EDEN, NC 27288-5321
(336) 627-1141
(336) 627-1163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902560
—
NC
05
—
6758860
—
VA
Enumeration date
01/31/2008
Last updated
01/31/2008
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