Southfork Pediatrics, Pllc

NPI Provider: 1992701445
Contact Name: Brown K Debra
Position: Practice Manager
Phone: (828) 726-1379

Southfork Pediatrics, Pllc Information:

Southfork Pediatrics, Pllc organization have npi 1992701445, taxonomy code is 261QM2500X with license number is 9701479 in . This Business address located in 1733 Connelly Springs Rd, Lenoir, NC 28645 North Carolina.

Practice Location
Address: 1733 Connelly Springs Rd, Lenoir, NC 28645
Phone: (828) 726-8885

Business Location
Address: 1733 Connelly Springs Rd, Lenoir, NC 28645
Phone: (828) 726-8885
Fax: (828) 726-8883

Taxonomy

Taxonomy Code: 261QM2500X

License Number: 9701479

License Number of State: NC

Primary Taxonomy Switch: Y

Enumeration Date: 6/21/2005

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