Columbus Pediatrics & Adolescent Care PA
NPI #1447210976 in Whiteville, North Carolina
Provider Information
- NPI Number
- 1447210976
- Entity Type
- Organization
- Organization Name
- Columbus Pediatrics & Adolescent Care PA
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Feb 7, 2008
Practice Location
- Address
- 800 JEFFERSON ST
- Address 2
- SUITE 116
- City
- Whiteville
- State
- North Carolina
- ZIP Code
- 28472-3710
- Phone
- (910) 642-2642
Authorized Official
- Name
- DR. COY RANDOLPH MATTHEWS, M.D.
- Title
- PRESIDENT OF CORPORATION
- Phone
- (910) 642-2642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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