Organization
TRIANGLE PEDIATRIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON AHEARN (PRACTICE ADMINISTRATOR)
(919) 467-5543
Entity
Organization
Contact information
Practice address
500 WAVERLY PLACE, CARY, NC 27710-2771
(919) 467-5941
Mailing address
500 WAVERLY PLACE, CARY, NC 27710-2628
(919) 467-5941
(919) 469-2391
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
40214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902811
—
NC
Enumeration date
04/17/2006
Last updated
01/05/2024
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