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Organization

JOHNSTON COUNTY PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALLY LAWSON CARPENTER M.D. (PEDIATRICIAN)
(919) 934-0564
Entity
Organization

Contact information

Practice address
11 BERKSHIRE RD, SMITHFIELD, NC 27577-4748
(919) 934-0564
(919) 934-9703
Mailing address
11 BERKSHIRE RD, SMITHFIELD, NC 27577-4748
(919) 934-0564
(919) 934-9703

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29813
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98014WJ
NC
Enumeration date
12/05/2006
Last updated
07/30/2007
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