Organization
KIDS FIRST PEDIATRICS OF RAEFORD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAMOR DE LEON BUENASEDA M.D. (OWNER)
(910) 848-5437
Entity
Organization
Contact information
Practice address
4005 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 848-5437
(910) 848-5439
Mailing address
4005 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 848-5437
(910) 848-5439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200601348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922034
—
NC
Enumeration date
11/01/2010
Last updated
10/15/2018
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