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Organization

HIGHLAND-VALLEY PEDIATRIC CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD H PARKS (CEO)
(910) 609-6700
Entity
Organization

Contact information

Practice address
1219 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 609-4946
(910) 609-5407
Mailing address
PO BOX 41209, FAYETTEVILLE, NC 28309-1209
(910) 609-6448
(910) 609-7040

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0213
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
790289X
NC
Enumeration date
08/17/2005
Last updated
08/22/2020
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