Organization · Type 2 NPI

Unc Rockingham Health Care, Inc.

Pediatric Adolescent Medicine Physician · Eden, NC

NPI number 1962537431 Active

Practice location

134 N Pierce St
Eden, NC 27288-3531

Call (336) 623-3699 Map

Fax (336) 623-3699

Mailing address

117 E Kings Hwy
Eden, NC 27288-5201

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	61720 (NC)
Registered Nurse	163W00000X	70791 (NC)
Obstetrics & Gynecology Physician	207V00000X	00-35434 (NC)
Pediatric Adolescent Medicine Physician Primary	2080A0000X	200400651 (NC)
Family Nurse Practitioner	363LF0000X	200698 (NC)
Pediatric Nurse Practitioner	363LP0200X	300219 (NC)

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.

Other pediatric adolescent medicine physician providers in Eden

Unc Rockingham Health Care, Inc.Pediatric Adolescent Medicine Physician Eden, NC NPI 1043193808

See all in Eden →

NPI record

NPI: 1962537431
Entity type: Organization (Type 2)
Issued: Feb 23, 2007
Last updated: Jul 17, 2023
Status: Active

Other names

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Morehead High School Student Health Center · doing business as
Morehead High School Student Health Center · doing business as

Authorized official

Karen Ann Shadowens
CFO, VP
(336) 627-8512

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About NPI 1962537431

Unc Rockingham Health Care, Inc.'s National Provider Identifier is 1962537431, issued on Feb 23, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Eden, NC. The record was last updated on Jul 17, 2023.