Organization
PITT CHILDREN'S CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE EDWARD DAVIS MD (OWNER)
(252) 758-1750
Entity
Organization
Contact information
Practice address
1800 W 5TH ST, SUITE 8, GREENVILLE, NC 27834-2888
(252) 758-1750
Mailing address
1800 W 5TH ST, SUITE 8, GREENVILLE, NC 27834-2888
(252) 758-1750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02448
NORTH CAROLINA BC/BS
NC
05
—
8902448
—
NC
Enumeration date
08/31/2006
Last updated
08/22/2020
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