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247 KID DOC NPI 1073063459


NPI Information

NPI: 1073063459
Provider Name: 247 KID DOC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3304 STONESTHROW DR
NEWTON, NC
ZIP 28658
Phone: (844) 303-8006
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247 KID DOC is a primary care clinic center in Newton, NC. 247 KID DOC NPI is 1073063459. The provider is registered as an organization entity type.

The provider's business location address is:

3304 STONESTHROW DR
NEWTON, NC
ZIP 28658-883
Phone: (844) 303-8006

The provider's authorized official is Timothy Bain Shannon .
The authorized official title is President and has the following contact phone number (844) 303-8006.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


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
1261QP2300XClinic/CenterPrimary Care2016-02169NORTH 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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