Southfork Pediatrics, Pllc
NPI #1992701445 in Lenoir, North Carolina
Provider Information
- NPI Number
- 1992701445
- Entity Type
- Organization
- Organization Name
- Southfork Pediatrics, Pllc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jun 21, 2005
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 1733 CONNELLY SPRINGS RD
- City
- Lenoir
- State
- North Carolina
- ZIP Code
- 28645-7827
- Phone
- (828) 726-8885
Authorized Official
- Name
- MRS. DEBRA K BROWN
- Title
- PRACTICE MANAGER
- Phone
- (828) 726-1379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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