Organization
GOLDSBORO PEDIATRICS PA
Active
Parent organization
GOLDSBORO PEDIATRICS PA
Other names
LAGRANGE PEDIATRICS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLDSBORO PEDIATRICS PA
Authorized official
MR. MICHAEL ALLEN RIDDICK (PRACTICE MANAGER)
(919) 734-4736
Entity
Organization
Contact information
Practice address
114 E RAILROAD STREET, LAGRANGE, NC 28551
(252) 566-5999
(252) 566-4430
Mailing address
114 E RAILROAD STREET, LAGRANGE, NC 28551
(252) 566-5999
(252) 566-4430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901644
—
NC
Enumeration date
12/18/2023
Last updated
02/10/2026
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