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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