Fayetteville Children's Clinic, P.a.
Pediatrics
Fayetteville Children's Clinic, P.a. is a Fayetteville, North Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1606 Morganton Rd, Fayetteville, North Carolina - 28305-4738. They can be contacted on phone at
910-484-3121 and fax number 910-484-9027.
NPI number (Unique professional ID) for Fayetteville Children's Clinic, P.a. is
1730270448 which was assigned by NPPES on 27 Sep, 2006 and it was last updated on 10 Jul, 2013.
Fayetteville Children's Clinic, P.a. license number is
39028 for Pediatrics (208000000X) in North Carolina.
Fayetteville Children's Clinic, P.a. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Fayetteville Children's Clinic, P.a. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Fayetteville Children's Clinic, P.a. |
|---|
Business Address:
Fayetteville Children's Clinic, P.a. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1606 Morganton Rd
Fayetteville, NC, 28305-4738
United States |
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| Phone Number : | 910-484-3121 |
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| Fax Number : | 910-484-9027 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730270448 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Sep, 2006 |
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| Last Updated On : | 10 Jul, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Williamhuske Kelly |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 910-484-3121 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fayetteville Children's Clinic, P.a. are as mentioned. Primary taxonomy code for Fayetteville Children's Clinic, P.a. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 39028 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Fayetteville Children's Clinic, P.a. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0235G | Other | NC | BLUE CROSS BLUE SHIELD |
| 790235G | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 53127
Fayetteville, NC, 28305-3127
United States |
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| Phone Number : | 910-484-3121 |
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| Fax Number : | 910-484-9027 |
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Business Location:
Patients can refer following map for directions to
Fayetteville Children's Clinic, P.a. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.