Organization
ABC KIDS PEDIATRIC HEALTH CARE
Active
Other names
ABC KIDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN LUIS GUILLEN HERNANDEZ MD (MANAGER)
(646) 203-1081
Entity
Organization
Contact information
Practice address
1310 E ARLINGTON BLVD STE A, GREENVILLE, NC 27858-9976
(646) 203-1081
Mailing address
1310 E ARLINGTON BLVD STE A, GREENVILLE, NC 27858-9976
(646) 203-1081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
08/09/2024
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