| Shalom Pediatric Clinic | |
|
2806 Randleman Rd Suite M Greensboro NC 27406-5265 | |
| (336) 574-8355 | |
| (336) 273-9192 |
| Full Name | Shalom Pediatric Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2806 Randleman Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Rita Obiageli Nnaemekaokoyeh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3365748355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Pediatric Clinic 2806 Randleman Rd Suite M Greensboro NC 27406-5265 Ph: (336) 574-8355 | Shalom Pediatric Clinic 2806 Randleman Rd Suite M Greensboro NC 27406-5265 Ph: (336) 574-8355 |
| NPI Number | 1316227739 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316227739 | NPI | - | NPPES |
| 4188 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2005-01548 (North Carolina) | Primary |
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