Growing Child Pediatrics | |
270 Horizon Dr Raleigh NC 27615-4922 | |
(919) 845-0623 | |
(919) 488-1716 |
Full Name | Growing Child Pediatrics |
---|---|
Speciality | Pediatrics |
Location | 270 Horizon Dr, Raleigh, North Carolina |
Authorized Official Name and Position | Desi Cuna (DIRECTOR OF BILLING) |
Authorized Official Contact | 9194880015 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Growing Child Pediatrics 11130 Capital Blvd Wake Forest NC 27587-4513 Ph: (919) 488-0015 | Growing Child Pediatrics 270 Horizon Dr Raleigh NC 27615-4922 Ph: (919) 845-0623 |
NPI Number | 1033412580 |
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Provider Enumeration Date | 12/06/2010 |
Last Update Date | 12/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033412580 | NPI | - | NPPES |
6006881 | Medicaid | NC | |
890137Q | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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