Easter Seals Ucp North Carolina & Virginia
NPI #1275969230 in Spring Lake, North Carolina
Provider Information
- NPI Number
- 1275969230
- Entity Type
- Organization
- Organization Name
- Easter Seals Ucp North Carolina & Virginia
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Sep 23, 2013
- Last Updated
- Jan 15, 2014
Practice Location
- Address
- 511 WILSON AVE
- City
- Spring Lake
- State
- North Carolina
- ZIP Code
- 28390-3648
- Phone
- (919) 783-8898
Authorized Official
- Name
- RICHARD EDWARDS
- Title
- VP
- Phone
- (919) 783-8898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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