Kings Mountain Pediatric Clinic
Pediatrics
Kings Mountain Pediatric Clinic is a Kings Mountain, North Carolina based Pediatric center with medical specialization in
General Pediatrics. Kings Mountain Pediatric Clinic is also known as
Kings Mountain Pediatrics, Pa.
It is located at
108 Edgemont Dr, Kings Mountain, North Carolina - 28086-2702. They can be contacted on phone at
704-739-2521 and fax number 704-739-4314.
NPI number (Unique professional ID) for Kings Mountain Pediatric Clinic is
1336127570 which was assigned by NPPES on 06 Jan, 2006 and it was last updated on 26 Apr, 2017.
Kings Mountain Pediatric Clinic license number is
19089 for Pediatrics (208000000X) in North Carolina.
Kings Mountain Pediatric Clinic 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:
Kings Mountain Pediatric Clinic basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kings Mountain Pediatric Clinic |
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| Other Name : | Kings Mountain Pediatrics, Pa |
|---|
Business Address:
Kings Mountain Pediatric Clinic 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 : | 108 Edgemont Dr
Kings Mountain, NC, 28086-2702
United States |
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| Phone Number : | 704-739-2521 |
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| Fax Number : | 704-739-4314 |
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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 : | 1336127570 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 06 Jan, 2006 |
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| Last Updated On : | 26 Apr, 2017 |
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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 : | Martinwade Stallings |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | DOCTOR |
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| Phone Number : | 704-739-2521 |
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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 Kings Mountain Pediatric Clinic are as mentioned. Primary taxonomy code for Kings Mountain Pediatric Clinic is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19089 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Kings Mountain Pediatric Clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8979192 | MEDICAID | NC | |
| 79192 | Other | NC | BLUE CROSS BLUE SHIELD |
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 : | 108 Edgemont Dr
Kings Mountain, NC, 28086-2702
United States |
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| Phone Number : | 704-739-2521 |
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| Fax Number : | 704-739-4314 |
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Business Location:
Patients can refer following map for directions to
Kings Mountain Pediatric Clinic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.