| Halifax Pediatrics, P.a. | |
|
529 Becker Dr Roanoke Rapids NC 27870-3303 | |
| (252) 537-1400 | |
| (252) 537-4936 |
| Full Name | Halifax Pediatrics, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 529 Becker Dr, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Paulette K. Ingram (PRESIDENT) |
| Authorized Official Contact | 2525371400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halifax Pediatrics, P.a. Po Box 787 529 Becker Drive Roanoke Rapids NC 27870-0787 Ph: (252) 537-1400 | Halifax Pediatrics, P.a. 529 Becker Dr Roanoke Rapids NC 27870-3303 Ph: (252) 537-1400 |
| NPI Number | 1821214552 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 07/17/2012 |
| Medicare PECOS PAC ID | 6608825294 |
|---|---|
| Medicare Enrollment ID | O20050120001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821214552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 28419 (North Carolina) | Primary |
| Provider Name | Paulette K Ingram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437119112 PECOS PAC ID: 3870542467 Enrollment ID: I20050120001039 |
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