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Contact Information

IMAGINE PEDIATRICS OF NORTH CAROLINA, PLLC
506 RAMSEUR ST STE 1
DURHAM, NC27701-4890
 Phone: 833-208-7770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Family

363LF0000X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Marriage & Family Therapist

106H00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics, Critical Care

363LP0222X 50 Nurse Practitioner
 

Pharmacist

183500000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for IMAGINE PEDIATRICS OF NORTH CAROLINA, PLLC

NPI Number 1538922638
LBN Legal business name IMAGINE PEDIATRICS OF NORTH CAROLINA, PLLC
Authorized official KENNETH BEERY - (CHIEF ADMIN. OFFICER (CAO))
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2024
Last updated 02/06/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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