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PEDIATRIC PRACTICE NPI 1396907903


NPI Information

NPI: 1396907903
Provider Name: PEDIATRIC PRACTICE

Doing Business As: CAPE FEAR VALLEY PEDIATRIC ENDOCRINOLOGY

Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
101 ROBESON ST STE 410
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 609-1688
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PEDIATRIC PRACTICE is a pediatric endocrinology pediatrics in Fayetteville, NC. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PEDIATRIC PRACTICE NPI is 1396907903. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cape Fear Valley Pediatric Endocrinology.

The provider's business location address is:

101 ROBESON ST STE 410
FAYETTEVILLE, NC
ZIP 28301-520
Phone: (910) 609-1688
Fax: (910) 321-6254

The provider's authorized official is Michael Nagowski .
The authorized official title is Ceo and has the following contact phone number (910) 609-6700.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 7/3/2023.


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
12080P0205XPediatricsPediatric EndocrinologyH0213NORTH CAROLINAYes

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
1PENDINGMEDICAIDNORTH 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: 4/28/2024

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