KNOX CLINIC PEDIATRICS NPI 1063500908

NPI Information

  • NPI: 1063500908
  • Provider Name: KNOX CLINIC PEDIATRICS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2304 DELANEY RD
    WILMINGTON, NC
    ZIP 28403
  • Phone: (910) 763-3349

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NPI Details

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 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: 11/21/2025

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