Organization
GROWING CHILD PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MORRISON POOLE M.D. (OWNER)
(919) 488-0015
Entity
Organization
Contact information
Practice address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-4094
(919) 488-0022
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006881
—
NC
05
—
6008733
—
NC
05
—
6008735
—
NC
05
—
6008736
—
NC
Enumeration date
07/08/2009
Last updated
05/07/2013
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