Organization
JOHNSTON COUNTY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY LAWSON CARPENTER MD (OWNER/PHYSICIAN)
(919) 934-0564
Entity
Organization
Contact information
Practice address
11 BERKSHIRE RD, SMITHFIELD, NC 27577
(919) 934-0564
(919) 934-9703
Mailing address
PO BOX 570, SMITHFIELD, NC 27577-0570
(919) 934-0564
(919) 934-9703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014WJ
—
NC
Enumeration date
07/30/2007
Last updated
07/12/2013
Update your record
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