Organization
CAPITOL PEDIATRICS & ADOLESCENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN W LOCKHART (ADMINISTRATOR)
(919) 232-5518
Entity
Organization
Contact information
Practice address
3801 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6506
(919) 782-5273
(919) 781-8853
Mailing address
3801 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6506
(919) 782-5273
(919) 781-8853
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690221U
—
NC
Enumeration date
03/21/2006
Last updated
08/22/2020
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