Organization
KIDZCARE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALS MANAGER)
(910) 483-7337
Entity
Organization
Contact information
Practice address
1001 W CUMBERLAND ST, DUNN, NC 28334-4715
(910) 891-5437
(910) 897-7145
Mailing address
5617 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
(910) 483-7337
(910) 483-0648
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200101222
NC
Other
Enumeration date
08/18/2016
Last updated
04/27/2018
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