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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

NPI Number 1609066273
LBN Legal business name JOHNSTON COUNTY PEDIATRICS
Authorized official SALLY CARPENTER - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2007
Last updated 07/12/2013 - About 13 years ago
Identifiers
NC License # 29813
NC Medicaid 89014WJ
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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