The Pediatric Practice

LBN: The Pediatric Practice
The Pediatric Practice is an health care organization with primary practice located at 101 Robeson St Suite 300, Fayetteville NC 28301-5552. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. The Pediatric Practice can be contacted via phone (910) 609-1616, or through Parks, Richard H via phone (910) 609-6700.

Contact Information

Primary practice address
101 Robeson St Suite 300 Fayetteville NC 28301-5552
Phone: (910) 609-1616
Fax: (910) 609-1619
Website:
Map and Directions
Authorized official contact:
Name: Parks, Richard H
Phone: (910) 609-6700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H0213 North Carolina

Profile Details

NPI number 1376535799
LBN Legal business name The Pediatric Practice
DBA Doing business as
Authorized official Parks, Richard H
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376535799 NPPES
North Carolina MEDICAID 790236C

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