Organization
KIDZCARE PEDIATRICS, PC
Active
Other names
Pediatric Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA E WRIGHT (CREDENTIALS MANAGER)
(910) 483-7337
Entity
Organization
Contact information
Practice address
1022 N BRAGG BOULEVARD, SPRING LAKE, NC 28390-2709
(910) 495-7337
(910) 495-0747
Mailing address
PO BOX 647, HOPE MILLS, NC 28348-0647
(910) 483-7337
(910) 483-0648
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016VP
BCBS NC
NC
01
—
016VR
BCBS NC
NC
01
—
1342H
BLUE CROSS BLUE SHEILD
NC
05
—
5914484
—
NC
Enumeration date
04/15/2010
Last updated
08/27/2021
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