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 |