| Growing Child Pediatrics | |
|
4551 New Bern Ave Suite 160 Raleigh NC 27610-1551 | |
| (919) 861-7793 | |
| (919) 488-1458 |
| Full Name | Growing Child Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 4551 New Bern Ave, Raleigh, North Carolina |
| Authorized Official Name and Position | Desi Cuna (DIRECTOR OF BILLING) |
| Authorized Official Contact | 91948800015 |
| 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) 488-4094 | Growing Child Pediatrics 4551 New Bern Ave Suite 160 Raleigh NC 27610-1551 Ph: (919) 861-7793 |
| NPI Number | 1124321682 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 12/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124321682 | NPI | - | NPPES |
| 890137Q | Medicaid | NC | |
| 6006881 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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