Organization
CAROLINA CHILDREN'S HEART SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FAIRBROTHER (PRESIDENT)
(252) 525-8112
Entity
Organization
Contact information
Practice address
1018 W H SMITH BOULEVARD, GREENVILLE, NC 27834
(252) 525-8112
Mailing address
204 OXFORD RD, GREENVILLE, NC 27858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
9801251
NC
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
07/27/2021
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