Organization
NORTHWEST CHILDRENS & ADOLESCENTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDITH KOCIS M.D. (PHYSICIAN)
(828) 265-2178
Entity
Organization
Contact information
Practice address
134 DOCTORS DR, BOONE, NC 28607-5000
(828) 265-2178
(828) 264-1637
Mailing address
134 DOCTORS DR, BOONE, NC 28607-5000
(828) 265-2178
(828) 264-1637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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