Moonlight Pediatric Urgent Care PA
NPI #1558872804 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1558872804
- Entity Type
- Organization
- Organization Name
- Moonlight Pediatric Urgent Care PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 13, 2017
- Last Updated
- Oct 13, 2017
Practice Location
- Address
- 3117 ROGERS RD STE 120
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-3803
- Phone
- (919) 938-2144
Authorized Official
- Name
- KIMBERLY D. FOX, MD
- Title
- OWNER
- Phone
- (919) 938-2144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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