Organization
KIDZCARE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA E WRIGHT (CREDENTIALS MANAGER)
(910) 483-7337
Entity
Organization
Contact information
Practice address
5244B N SHARON AMITY RD, CHARLOTTE, NC 28215-0053
(704) 536-0073
(704) 535-5722
Mailing address
PO BOX 647, HOPE MILLS, NC 28348-0647
(910) 483-7337
(910) 483-0648
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
118386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016VR
BCBS OF NC
NC
01
—
1821419508
HEALTHSMART
NC
05
—
1821419508
—
NC
01
—
2775124
UNITED HEALTHCARE
NC
01
—
4142710
CIGNA GREATWEST
NC
01
—
7578540
AETNA
NC
01
—
9473694
PHCS MULTIPLAN
NC
Enumeration date
12/23/2013
Last updated
07/16/2015
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