| Growing Child Pediatrics | |
|
7990 Arco Corporate Dr Raleigh NC 27617-2029 | |
| (919) 544-5900 | |
| Not Available |
| Full Name | Growing Child Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 7990 Arco Corporate Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Child Pediatrics Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Growing Child Pediatrics 7990 Arco Corporate Dr Raleigh NC 27617-2029 Ph: (919) 544-5900 |
| NPI Number | 1316455728 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 05/15/2022 |
| Certification Date | 05/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316455728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23168 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 23168 (North Carolina) | Primary |
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