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Organization

KIDZCARE PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTAE RENEE LOCKHART (CREDENTIALING COORDINATOR)
(910) 483-7337
Entity
Organization

Contact information

Practice address
327 W COLLEGE AVE, SHELBY, NC 28152-8111
(704) 434-9686
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

Other

Enumeration date
05/05/2020
Last updated
07/08/2020
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