Greensboro Children's Doctor, Pa
Pediatrics
Greensboro Children's Doctor, Pa is a Greensboro, North Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
515 College Road, Suite 11, Greensboro, North Carolina - 27410-5150. They can be contacted on phone at
336-852-9630 and fax number 336-852-9665.
NPI number (Unique professional ID) for Greensboro Children's Doctor, Pa is
1275523003 which was assigned by NPPES on 24 Oct, 2005 and it was last updated on 22 Aug, 2020.
Greensboro Children's Doctor, Pa license number is
27124 for Pediatrics (208000000X) in North Carolina.
Greensboro Children's Doctor, Pa 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:
Greensboro Children's Doctor, Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Greensboro Children's Doctor, Pa |
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Business Address:
Greensboro Children's Doctor, Pa 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 : | 515 College Road, Suite 11
Greensboro, NC, 27410-5150
United States |
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| Phone Number : | 336-852-9630 |
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| Fax Number : | 336-852-9665 |
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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 : | 1275523003 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Oct, 2005 |
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| Last Updated On : | 22 Aug, 2020 |
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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 : | Richardwalters Boette |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 336-852-9630 |
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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 Greensboro Children's Doctor, Pa are as mentioned. Primary taxonomy code for Greensboro Children's Doctor, Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 27124 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Greensboro Children's Doctor, Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7902775 | 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 : | 515 College Road, Suite 11
Greensboro, NC, 27410-5150
United States |
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| Phone Number : | 336-852-9630 |
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| Fax Number : | 336-852-9665 |
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Business Location:
Patients can refer following map for directions to
Greensboro Children's Doctor, Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.