Organization · Type 2 NPI
Easter Seals Ucp North Carolina & Virginia
Pediatric Adolescent Medicine Physician · Spring Lake, NC
NPI number
1275969230
Active
Practice location
511 Wilson Ave
Spring Lake, NC 28390-3648
Mailing address
5171 Glenwood Ave, Suite 400
Raleigh, NC 27612-3266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | None listed |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Another provider at this address
About NPI 1275969230
Easter Seals Ucp North Carolina & Virginia's National Provider Identifier is 1275969230, issued on Sep 23, 2013. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Spring Lake, NC. The record was last updated on Jan 15, 2014.