Organization
PEDIATRICIAN'S URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M POOLE M.D. (OWNER MANAGER)
(919) 488-4094
Entity
Organization
Contact information
Practice address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-4094
(919) 488-4096
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901013
—
NC
Enumeration date
03/21/2006
Last updated
04/22/2013
Update your record
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