Organization
KIDZCARE PEDIATRICS, PC
Active
Other names
Pediatric Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA E WRIGHT (CREDENTIALS MANAGER)
(910) 483-7337
Entity
Organization
Contact information
Practice address
5617 RAMSEY STREET, FAYETTEVILLE, NC 28311-1423
(910) 423-7337
(910) 480-3029
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
200101222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016VR
BCBS NC
NC
05
—
5900116
—
NC
Enumeration date
05/28/2009
Last updated
03/25/2016
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