| NPI | 1548495914 |
|---|---|
| Former Legal Business Name | PEDIATRIC ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | SHANTAE RENEE LOCKHART Credentials Specialist 910-483-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-08-27 |