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Organization

PREMIER PEDIATRICS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETINA ANN SLOAN (PRACTICE ADMINISTRATOR)
(910) 246-2229
Entity
Organization

Contact information

Practice address
135 TURNER ST, SOUTHERN PINES, NC 28387-7054
(910) 246-2229
(910) 246-0237
Mailing address
135 TURNER ST, SOUTHERN PINES, NC 28387-7054
(910) 246-2229
(910) 246-0237

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20070048
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89013C9
NC
Enumeration date
01/22/2009
Last updated
08/23/2021
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