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Contact Information

JOHNSTON COUNTY PEDIATRICS
11 BERKSHIRE RD
SMITHFIELD, NC27577
 Phone: 919-934-0564
 Fax: 919-934-9703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHNSTON COUNTY PEDIATRICS · (Female)

NPI Number 1609066273
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2007
Last updated 07/12/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 29813
  • NC Medicaid 89014WJ
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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