Organization
KIDZCARE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALING COORDINATOR)
(910) 483-7337
Entity
Organization
Contact information
Practice address
1606 WELLINGTON AVE STE F, WILMINGTON, NC 28401-7704
(910) 392-5634
(910) 392-5654
Mailing address
PO BOX 9219, FAYETTEVILLE, NC 28311-9082
(910) 483-7337
(910) 483-0648
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
118386
NC
Other
Enumeration date
07/08/2015
Last updated
10/14/2025
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