Pediatric Practice in Fayetteville - Pediatric Endocrinology

Pediatric Practice - NPI 1396907903

Pediatric Practice is a Pediatric Endocrinology in Fayetteville, North Carolina. Pediatric Practice practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Pediatric Practice is 1396907903. The last update date is 2023-07-03.

Pediatric Practice's current location address is Po Box 41209, Fayetteville, North Carolina. You can contact this provider via phone number 9106096448 and fax number 9106095070. The mailing address for Pediatric Practice is Po Box 41209, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Practice
Address Po Box 41209, Fayetteville, North Carolina
Phone Number 9106096448
Fax Number 9106095070
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Nagowski Michael
Telephone Number 9106096700

NPI Number Detail

NPI Number 1396907903
Provider Enumeration Date 2008-06-26
Last Updated Date 2023-07-03

Provider Mailing Address Detail

Address Po Box 41209
City Fayetteville
State North Carolina (NC)
Post Code 283091209
Phone Number 9106096448
Fax Number 9106095070

Provider's Primary Taxonomy Detail

Speciality Pediatric Endocrinology
Taxonomy 2080P0205X
Licence No H0213
Definition:
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PENDING NC --

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FAQs about Pediatric Practice

What is the unique 10-digit identification code assigned to Pediatric Practice by the Centers for Medicare & Medicaid Services?

The Pediatric Practice has been issued the NPI (National Provider Identifier) 1396907903, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Pediatric Practice's facilities are geographically located?

The facilities of Pediatric Practice are physically situated at the following location: Po Box 41209, Fayetteville, NC, 283091209.

What is Pediatric Practice's specialized field of practice, and what is the corresponding taxonomy classification code?

The Pediatric Practice's area of specialization is Pediatric Endocrinology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0205X.

On what date did Pediatric Practice receive its 1396907903 assignment from the Centers for Medicare & Medicaid Services?

The Pediatric Practice was assigned its 1396907903 on 2008-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Pediatric Practice last refreshed?

The information related to the Pediatric Practice, including its address, specialty, and other relevant details, was last updated on 2023-07-03.

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