Owen Park Pediatrics, Pa
Pediatrics
Owen Park Pediatrics, Pa is a Fayetteville, North Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1520 Owen Park Ln, Fayetteville, North Carolina - 28304-3454. They can be contacted on phone at
910-860-3500 and fax number 910-485-3507.
NPI number (Unique professional ID) for Owen Park Pediatrics, Pa is
1548424104 which was assigned by NPPES on 14 Jul, 2008 and it was last updated on 14 Jul, 2008.
Owen Park Pediatrics, 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:
Owen Park Pediatrics, Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Owen Park Pediatrics, Pa |
|---|
Business Address:
Owen Park Pediatrics, 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 : | 1520 Owen Park Ln
Fayetteville, NC, 28304-3454
United States |
|---|
| Phone Number : | 910-860-3500 |
|---|
| Fax Number : | 910-485-3507 |
|---|
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 : | 1548424104 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 Jul, 2008 |
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| Last Updated On : | 14 Jul, 2008 |
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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 : | Paulo Adholla |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 910-860-3500 |
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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 Owen Park Pediatrics, Pa are as mentioned. Primary taxonomy code for Owen Park Pediatrics, Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Owen Park Pediatrics, Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8911931 | 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 : | 1520 Owen Park Ln
Fayetteville, NC, 28304-3454
United States |
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| Phone Number : | 910-860-3500 |
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| Fax Number : | 910-485-3507 |
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Business Location:
Patients can refer following map for directions to
Owen Park Pediatrics, 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.