EASTER SEALS UCP NORTH CAROLINA & VIRGINIA NPI 1275969230

NPI Information

  • NPI: 1275969230
  • Provider Name: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 511 WILSON AVE
    SPRING LAKE, NC
    ZIP 28390
  • Phone: (919) 783-8898

Map and Directions

Get Directions

NPI Details

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA is an adolescent medicine pediatrics in Spring Lake, NC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. EASTER SEALS UCP NORTH CAROLINA & VIRGINIA NPI is 1275969230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

511 WILSON AVE
SPRING LAKE, NC
ZIP 28390-648
Phone: (919) 783-8898

The provider's authorized official is Richard Edwards .
The authorized official title is Vp and has the following contact phone number (919) 783-8898.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 1/15/2014.

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
12080A0000XPediatricsAdolescent MedicineYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.