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ABC PEDIATRICS OF DUNN PA NPI 1417061011


NPI Information

NPI: 1417061011
Provider Name: ABC PEDIATRICS OF DUNN, PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 34D0890539

Address:
104 TILGHMAN DR
DUNN, NC
ZIP 28334
Phone: (910) 892-1333
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ABC PEDIATRICS OF DUNN, PA is a specialist in Dunn, 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. ABC PEDIATRICS OF DUNN, PA NPI is 1417061011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 TILGHMAN DR
DUNN, NC
ZIP 28334-533
Phone: (910) 892-1333
Fax: (910) 892-2757

The provider's authorized official is Vincent Chiodo .
The authorized official title is Owner and has the following contact phone number (910) 892-1333.

The CLIA number assigned to this NPI record is 34D0890539 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 10/19/2011.


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
1174400000XSpecialist58998NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10131NOTHERNORTH CAROLINABLUECROSS GROUP #
2890131NMEDICAIDNORTH CAROLINA
36008504MEDICAIDNORTH 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: 5/5/2024

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.