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TRIANGLE CHILD ABUSE PEDIATRIC SERVICES PLLC NPI 1255660353


NPI Information

NPI: 1255660353
Provider Name: TRIANGLE CHILD ABUSE PEDIATRIC SERVICES, PLLC
Classification: Pediatrics - 2080C0008X
Entity Type: Organization

Specialization: Child Abuse Pediatrics

Address:
1100 NAVAHO DR
SUITE 121
RALEIGH, NC
ZIP 27609
Phone: (919) 845-4620
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TRIANGLE CHILD ABUSE PEDIATRIC SERVICES, PLLC is a child abuse pediatrics pediatrics in Raleigh, NC. The provider is a Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. TRIANGLE CHILD ABUSE PEDIATRIC SERVICES, PLLC NPI is 1255660353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 NAVAHO DR
SUITE 121
RALEIGH, NC
ZIP 27609-319
Phone: (919) 845-4620
Fax: (919) 846-8126

The provider's authorized official is Vivian Denise Everett .
The authorized official title is Owner and has the following contact phone number (919) 845-4620.

The enumeration date for this NPI number is 12/18/2009 and was last updated on 5/17/2010.


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
12080C0008XPediatricsChild Abuse PediatricsYes

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
15913571MEDICAIDNORTH 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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