Knox Pediatrics Of Brunswick, Pllc in Supply - Specialist

Knox Pediatrics Of Brunswick, Pllc - NPI 1750458428

Knox Pediatrics Of Brunswick, Pllc is a Specialist in Supply, North Carolina. Knox Pediatrics Of Brunswick, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Knox Pediatrics Of Brunswick, Pllc is 1750458428. The last update date is 2011-04-04.

Knox Pediatrics Of Brunswick, Pllc's current location address is 20 Medical Campus Dr., Supply, North Carolina. You can contact this provider via phone number 9107555066 and fax number 9107555099. The mailing address for Knox Pediatrics Of Brunswick, Pllc is 20 Medical Campus Dr., Supply, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Knox Pediatrics Of Brunswick, Pllc
Address 20 Medical Campus Dr., Supply, North Carolina
Phone Number 9107555066
Fax Number 9107555099
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Knox Edralin Angelina
Credentials MD
Telephone Number 9107633349

NPI Number Detail

NPI Number 1750458428
Provider Enumeration Date 2006-11-29
Last Updated Date 2011-04-04

Provider Mailing Address Detail

Address 20 Medical Campus Dr.
City Supply
State North Carolina (NC)
Post Code 284624092
Phone Number 9107555066
Fax Number 9107555099

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 16200
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1841218716 NC NPI
8949897 NC --
5903109 NC --

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FAQs about Knox Pediatrics Of Brunswick, Pllc

What is the Knox Pediatrics Of Brunswick, Pllc's 1750458428?

The Knox Pediatrics Of Brunswick, Pllc's NPI (National Provider Identifier) Number is 1750458428. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Knox Pediatrics Of Brunswick, Pllc is located?

The Knox Pediatrics Of Brunswick, Pllc is situated at the following address: 20 Medical Campus Dr., Supply, NC, 284624092.

What is Knox Pediatrics Of Brunswick, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Knox Pediatrics Of Brunswick, Pllc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

When was the Knox Pediatrics Of Brunswick, Pllc's 1750458428 issued?

The Knox Pediatrics Of Brunswick, Pllc's 1750458428 was issued on 2006-11-29.

When was the Knox Pediatrics Of Brunswick, Pllc's information last updated?

The Knox Pediatrics Of Brunswick, Pllc's information was last updated on 2011-04-04.

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