Kings Mountain Pediatric Clinic in Kings Mountain - Pediatrics
Kings Mountain Pediatric Clinic - NPI 1336127570
Kings Mountain Pediatric Clinic is a Pediatrics in Kings Mountain, North Carolina. Kings Mountain Pediatric Clinic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kings Mountain Pediatric Clinic is 1336127570. The last update date is 2017-04-26.
Kings Mountain Pediatric Clinic's current location address is 108 Edgemont Dr, Kings Mountain, North Carolina. You can contact this provider via phone number 7047392521 and fax number 7047394314. The mailing address for Kings Mountain Pediatric Clinic is 108 Edgemont Dr, Kings Mountain, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kings Mountain Pediatric Clinic |
|---|---|
| Address | 108 Edgemont Dr, Kings Mountain, North Carolina |
| Phone Number | 7047392521 |
| Fax Number | 7047394314 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Stallings Wade Martin |
| Credentials | M.D. |
| Telephone Number | 7047392521 |
NPI Number Detail
| NPI Number | 1336127570 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2017-04-26 |
Provider Mailing Address Detail
| Address | 108 Edgemont Dr |
|---|---|
| City | Kings Mountain |
| State | North Carolina (NC) |
| Post Code | 280862702 |
| Phone Number | 7047392521 |
| Fax Number | 7047394314 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 19089 |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8979192 | NC | -- | |
| 79192 | NC | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Kings Mountain Pediatric Clinic by the Centers for Medicare & Medicaid Services?
The Kings Mountain Pediatric Clinic has been issued the NPI (National Provider Identifier) 1336127570. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kings Mountain Pediatric Clinic's facilities are situated?
The facilities of Kings Mountain Pediatric Clinic are physically located at the following address: 108 Edgemont Dr, Kings Mountain, NC, 280862702.
What is Kings Mountain Pediatric Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kings Mountain Pediatric Clinic's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
When was the Kings Mountain Pediatric Clinic's 1336127570 issued?
The Kings Mountain Pediatric Clinic's 1336127570 was issued on 2006-01-06.
As of what date was the information pertaining to Kings Mountain Pediatric Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kings Mountain Pediatric Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-26.
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