Organization
GOLDSBORO PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN RIDDICK (PRACTICE MANAGER)
(919) 734-4736
Entity
Organization
Contact information
Practice address
2706 MEDICAL OFFICE PLACE, GOLDSBORO, NC 27534-9460
(919) 734-4736
(919) 580-1017
Mailing address
2706 MEDICAL OFFICE PLACE, GOLDSBORO, NC 27534-9460
(919) 734-4736
(919) 580-1017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38877
NC
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01644
BCBS
—
05
—
8901644
—
NC
Enumeration date
11/29/2006
Last updated
01/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us