| 247 Kid Doc | |
|
3304 Stonesthrow Dr Newton NC 28658-8883 | |
| (844) 303-8006 | |
| Not Available |
| Full Name | 247 Kid Doc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3304 Stonesthrow Dr, Newton, North Carolina |
| Authorized Official Name and Position | Timothy Bain Shannon (PRESIDENT) |
| Authorized Official Contact | 8443038006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 247 Kid Doc 3304 Stonesthrow Dr Newton NC 28658-8883 Ph: (844) 303-8006 | 247 Kid Doc 3304 Stonesthrow Dr Newton NC 28658-8883 Ph: (844) 303-8006 |
| NPI Number | 1073063459 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073063459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2016-02169 (North Carolina) | Primary |
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