SUNSHINE PEDIATRIC AND ADOLESCENT CARE NPI 1740622166

NPI Information

  • NPI: 1740622166
  • Provider Name: SUNSHINE PEDIATRIC AND ADOLESCENT CARE
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 1631 MIDTOWN PL STE 107
    RALEIGH, NC
    ZIP 27609
  • Phone: (919) 876-5656

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NPI Details

SUNSHINE PEDIATRIC AND ADOLESCENT CARE is an adolescent medicine pediatrics in Raleigh, 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. SUNSHINE PEDIATRIC AND ADOLESCENT CARE NPI is 1740622166. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1631 MIDTOWN PL STE 107
RALEIGH, NC
ZIP 27609-300
Phone: (919) 876-5656
Fax: (919) 876-1515

The provider's authorized official is Albertina Denise Smith-banks .
The authorized official title is Owner and has the following contact phone number (919) 876-5656.

The enumeration date for this NPI number is 7/26/2013 and was last updated on 7/26/2013.

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 Medicine4451727NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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