Organization
CHILDREN'S HEALTH SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LYNNE P CHEADLE (PRACTICE MANAGER)
(252) 329-1474
Entity
Organization
Contact information
Practice address
1826 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 329-7337
(252) 329-1477
Mailing address
1826 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 329-7337
(252) 329-1477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890113M
—
NC
Enumeration date
03/21/2006
Last updated
08/22/2020
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