Organization
THE PEDIATRIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK S EDWARDS MD (CO-OWNER)
(910) 762-2651
Entity
Organization
Contact information
Practice address
1914 GLEN MEADE RD, WILMINGTON, NC 28403-6025
(910) 762-2651
(910) 763-5709
Mailing address
1914 GLEN MEADE RD, WILMINGTON, NC 28403-6025
(910) 762-2651
(910) 763-5709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200300029
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89133YG
—
NC
Enumeration date
03/17/2006
Last updated
07/25/2011
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