| NPI | 1437236338 |
|---|---|
| Former Legal Business Name | PEDIATRIC URGENT CARE PLLC |
| Entity Type | Organization |
| Authorized Contact | STANLEY DOUGLAS TAYLOR Owner 910-340-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 23340) |
| 208D00000X General Practice | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-10-05 |