Organization
RAINBOW KIDS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE SANATRA FAISON-ALSTON MD (MEDICAL DOCTOR)
(919) 435-1099
Entity
Organization
Contact information
Practice address
853 DURHAM RD, SUITE B, WAKE FOREST, NC 27587-8793
(919) 435-1099
(919) 435-1130
Mailing address
853 DURHAM RD, SUITE B, WAKE FOREST, NC 27587-8793
(919) 435-1099
(919) 435-1130
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9901171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1258X
BCBS
NC
01
—
229108
UNITED
NC
01
—
331532
WELLPATH
NC
05
—
8912588
—
NC
Enumeration date
03/12/2015
Last updated
06/26/2015
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