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KNOX CLINIC PEDIATRICS NPI 1063500908


NPI Information

NPI: 1063500908
Provider Name: KNOX CLINIC PEDIATRICS
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 34D0670162

Address:
2304 DELANEY RD
WILMINGTON, NC
ZIP 28403
Phone: (910) 763-3349
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KNOX CLINIC PEDIATRICS is a specialist in Wilmington, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KNOX CLINIC PEDIATRICS NPI is 1063500908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2304 DELANEY RD
WILMINGTON, NC
ZIP 28403-013
Phone: (910) 763-3349

The provider's authorized official is Anmona Thacker .
The authorized official title is Md and has the following contact phone number (910) 763-3349.

The CLIA number assigned to this NPI record is 34D0670162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNORTH CAROLINAYes

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: 5/5/2024

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