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
2501 S MEBANE ST, BURLINGTON, NC 27215-6235
(336) 228-7337
(336) 222-0293
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
118386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016VR
BCBS OF NC
NC
01
—
1679824676
HUMANA
NC
01
—
2775124
UNITED HEALTHCARE
NC
01
—
4142710
CIGNA GREATWEST
NC
05
—
5921597
—
NC
01
—
7578540
AETNA
NC
01
—
9473694
PHCS MULTIPLAN
NC
Enumeration date
10/01/2012
Last updated
07/16/2015
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