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GOLDSBORO PEDIATRICS PA NPI 1427125269


NPI Information

NPI: 1427125269
Provider Name: GOLDSBORO PEDIATRICS PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0239916

Address:
2706 MEDICAL OFFICE PLACE
GOLDSBORO, NC
ZIP 27534
Phone: (919) 734-4736
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GOLDSBORO PEDIATRICS PA is a pediatrics in Goldsboro, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GOLDSBORO PEDIATRICS PA NPI is 1427125269. The provider is registered as an organization entity type.

The provider's business location address is:

2706 MEDICAL OFFICE PLACE
GOLDSBORO, NC
ZIP 27534-460
Phone: (919) 734-4736
Fax: (919) 580-1017

The provider's authorized official is Michael Allen Riddick .
The authorized official title is Practice Manager and has the following contact phone number (919) 734-4736.

The CLIA number assigned to this NPI record is 34D0239916 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/25/2024.


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
1261QR1300XClinic/CenterRural HealthNo
2208000000XPediatrics38877NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101644OTHERBCBS
28901644MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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