Organization · Type 2 NPI
Shalom Pediatric Clinic
Primary Care Clinic/Center · Greensboro, NC
NPI number
1316227739
Active
Practice location
2806 Randleman Rd, Suite M
Greensboro, NC 27406-5265
Fax (336) 273-9192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 2005-01548 (NC) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1316227739
Shalom Pediatric Clinic's National Provider Identifier is 1316227739, issued on Aug 17, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Greensboro, NC. The record was last updated on Aug 17, 2011.