Step Up Pediatric And Adolescent Wellness Center
Pediatrics
Step Up Pediatric And Adolescent Wellness Center is a Winston Salem, North Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
3410 Healy Dr, Suite 110, Winston Salem, North Carolina - 27103-1403. They can be contacted on phone at
336-765-8614 and fax number 336-765-8605.
NPI number (Unique professional ID) for Step Up Pediatric And Adolescent Wellness Center is
1801163423 which was assigned by NPPES on 28 Nov, 2011 and it was last updated on 26 Apr, 2016.
Step Up Pediatric And Adolescent Wellness Center license number is
177279 for Pediatrics (208000000X) in North Carolina.
Step Up Pediatric And Adolescent Wellness Center 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:
Step Up Pediatric And Adolescent Wellness Center basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Step Up Pediatric And Adolescent Wellness Center |
|---|
Business Address:
Step Up Pediatric And Adolescent Wellness Center 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 : | 3410 Healy Dr, Suite 110
Winston Salem, NC, 27103-1403
United States |
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| Phone Number : | 336-765-8614 |
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| Fax Number : | 336-765-8605 |
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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 : | 1801163423 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 28 Nov, 2011 |
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| Last Updated On : | 26 Apr, 2016 |
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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 : | Leticiaestela Helleby-hardy |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | DIRECTOR |
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| Phone Number : | 336-765-8614 |
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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 Step Up Pediatric And Adolescent Wellness Center are as mentioned. Primary taxonomy code for Step Up Pediatric And Adolescent Wellness Center is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 101YP2500X | Counselor Professional | No | | NC |
| 363LF0000X | Nurse Practitioner Family | No | 124938 | NC |
| 208000000X | Pediatrics | Yes | 177279 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Step Up Pediatric And Adolescent Wellness Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 026MP | Other | | BCBS |
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 843
Crozet, VA, 22932-0801
United States |
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| Phone Number : | 336-765-8614 |
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| Fax Number : | 336-765-8605 |
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Business Location:
Patients can refer following map for directions to
Step Up Pediatric And Adolescent Wellness Center 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.