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Organization

SUNSHINE PEDIATRIC AND ADOLESCENT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERTINA DENISE SMITH-BANKS M.D. (OWNER)
(919) 876-5656
Entity
Organization

Contact information

Practice address
1631 MIDTOWN PL STE 107, RALEIGH, NC 27609-1300
(919) 876-5656
(919) 876-1515
Mailing address
1631 MIDTOWN PL STE 107, RALEIGH, NC 27609-1300
(919) 876-5656
(919) 876-1515

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4451727
NC

Other

Enumeration date
07/26/2013
Last updated
07/26/2013
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