Goldsboro Pediatrics Pa | |
327 Highway 55 West Mt Olive NC 28365 | |
(919) 658-9123 | |
(919) 658-8055 |
Full Name | Goldsboro Pediatrics Pa |
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Speciality | Pediatrics |
Location | 327 Highway 55 West, Mt Olive, North Carolina |
Authorized Official Name and Position | Michael Allen Riddick (PRACTICE MANAGER) |
Authorized Official Contact | 9197344736 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goldsboro Pediatrics Pa 327 Highway 55 West Mt Olive NC 28365 Ph: (919) 658-9123 | Goldsboro Pediatrics Pa 327 Highway 55 West Mt Olive NC 28365 Ph: (919) 658-9123 |
NPI Number | 1659149896 |
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Provider Enumeration Date | 12/18/2023 |
Last Update Date | 12/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659149896 | NPI | - | NPPES |
8901644 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |