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GROWING CHILD PEDIATRICS NPI 1124321682


NPI Information

NPI: 1124321682
Provider Name: GROWING CHILD PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4551 NEW BERN AVE
SUITE 160
RALEIGH, NC
ZIP 27610
Phone: (919) 861-7793
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GROWING CHILD PEDIATRICS is a pediatrics in Raleigh, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GROWING CHILD PEDIATRICS NPI is 1124321682. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4551 NEW BERN AVE
SUITE 160
RALEIGH, NC
ZIP 27610-551
Phone: (919) 861-7793
Fax: (919) 488-1458

The provider's authorized official is Desi Cuna .
The authorized official title is Director Of Billing and has the following contact phone number 91948800015.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16006881MEDICAIDNORTH CAROLINA
2890137QMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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