Organization
KIDS FIRST PEDIATRICS OF RALEIGH, PLLC
Active
Other names
Kids First Pediatrics of Clayton
Organization subpart
No
Provider details
NPI number
Authorized official
SELAM BULLOCK MD (CEO)
(919) 250-3478
Entity
Organization
Contact information
Practice address
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609-2508
(919) 250-3478
(919) 250-6272
Mailing address
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609-2508
(919) 250-3478
(919) 250-6272
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913770
—
NC
Enumeration date
03/20/2008
Last updated
09/02/2025
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