The Pediatric Center | |
1914 Glen Meade Rd Wilmington NC 28403-6025 | |
(910) 762-2651 | |
(910) 763-5709 |
Full Name | The Pediatric Center |
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Speciality | Clinic/center - Primary Care |
Location | 1914 Glen Meade Rd, Wilmington, North Carolina |
Authorized Official Name and Position | Eric Michael Jackson (PEDIATRICIAN) |
Authorized Official Contact | 9107622651 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Pediatric Center 1914 Glen Meade Rd Wilmington NC 28403-6025 Ph: (910) 762-2651 | The Pediatric Center 1914 Glen Meade Rd Wilmington NC 28403-6025 Ph: (910) 762-2651 |
NPI Number | 1659485415 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 08/06/2007 |
Identifier | Type | State | Issuer |
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1659485415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (North Carolina) | Primary |
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