Kidzcare Pediatrics, PC

NPI #1972015097 in Wallace, North Carolina

Provider Information

NPI Number: 1972015097
Entity Type: Organization
Organization Name: Kidzcare Pediatrics, PC
Primary Specialty: Pediatrics
Enumeration Date: Oct 30, 2017
Last Updated: Oct 30, 2017

Practice Location

Address: 112 MEDICAL VILLAGE DR STE D
City: Wallace
State: North Carolina
ZIP Code: 28466-1665
Phone: (910) 665-1437

Authorized Official

Name: SHANTAE RENEE LOCKHART
Title: CREDENTIALING SPECIALIST
Phone: (910) 483-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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