Organization
CAROLINA CHILD NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALAKA INDULKAR MD (MEMBER AND ORGANIZER)
(718) 288-2454
Entity
Organization
Contact information
Practice address
1540 PURDUE DR STE 101, FAYETTEVILLE, NC 28303-5510
(910) 491-2437
(910) 491-2439
Mailing address
1133 OFFSHORE DR, FAYETTEVILLE, NC 28305-5250
(910) 491-2437
(910) 491-2439
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
02/19/2019
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