Organization
PREMIERE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN BARKER WARD (OFFICE MANAGER)
(336) 625-0500
Entity
Organization
Contact information
Practice address
530 GREENSBORO ST, ASHEBORO, NC 27203-4737
(336) 625-0500
Mailing address
530 GREENSBORO ST, ASHEBORO, NC 27203-4737
(336) 625-0500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919931
—
NC
Enumeration date
06/13/2008
Last updated
11/30/2016
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