| Imagine Pediatrics Of North Carolina, Pllc | |
|
506 Ramseur St Ste 1 Durham NC 27701-4890 | |
| (833) 208-7770 | |
| Not Available |
| Full Name | Imagine Pediatrics Of North Carolina, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 506 Ramseur St Ste 1, Durham, North Carolina |
| Authorized Official Name and Position | Kenneth Taylor Beery (CHIEF ADMIN. OFFICER (CAO)) |
| Authorized Official Contact | 5044704140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Pediatrics Of North Carolina, Pllc 220 Athens Way # 240 Nashville TN 37228-1311 Ph: (833) 208-7770 | Imagine Pediatrics Of North Carolina, Pllc 506 Ramseur St Ste 1 Durham NC 27701-4890 Ph: (833) 208-7770 |
| NPI Number | 1538922638 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538922638 | NPI | - | NPPES |
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