Organization
KIDZCARE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALING COORDINATOR)
(910) 483-7337
Entity
Organization
Contact information
Practice address
135 TURNER ST, SOUTHERN PINES, NC 28387-7054
(910) 246-2229
(910) 246-0237
Mailing address
5617 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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