Triangle Child Abuse Pediatric Services, Pllc

NPI 1255660353 - Pediatrics - 2080C0008X

NPI Details
NPI 1255660353
Enumeration Date 12/18/2009
Last Updated 05/17/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name VIVIAN DENISE VIVIAN
Position OWNER
Phone (919) 845-4620
Fax (919) 846-8126
Practice Location
1100 NAVAHO DR
SUITE 121
RALEIGH NC, 27609-7319, US
Phone (919) 845-4620
Fax (919) 846-8126
Business Location
PO BOX 1689
ETOWAH NC, 28729-1689, US
Phone (828) 891-5524
Fax (828) 891-4069
Toxanomy
Taxonomy Code 2080C0008X
License State
License Number
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According to our database, Triangle Child Abuse Pediatric Services, Pllc NPI is 1255660353, taxonomy code is 2080C0008X Triangle Child Abuse Pediatric Services, Pllc physically located at 1100 Navaho Dr, Raleigh NC, 27609-7319. NPI Number 1033115704 has the healthcare provider type.

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1255660353 NPI number is provided on an as is basis without warranty of any kind. 1255660353 is maintained by the National Plan & Provider Enumeration System. The contents of Triangle Child Abuse Pediatric Services, Pllc are for informational purposes only.