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Mcm Pediatric And Adolescent Home Practice, P.A.

Pediatrics, Adolescent Medicine in Rockingham, NC. Organization (NPI-2).

NPI number1205967460
StatusActive
Last updated in NPPESApr 15, 2015

Details

NPI
1205967460
Entity type
Organization (NPI-2)
Legal business name
Mcm Pediatric And Adolescent Home Practice, P.A.
Organization subpart
No
Enumeration date
Mar 8, 2007
Last updated
Apr 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine2005-01870NCYes

Other names

  • Mcm Pediatric And Adolescent Home Practice, P.A. (Other Name)

Practice location

711 S Long Dr
Rockingham, NC 28379-4315

Phone 910-997-7180 · Fax 910-997-3830

Mailing address

711 S Long Dr
Rockingham, NC 28379-4315

Phone 910-997-7180 · Fax 910-997-3830

Authorized official

Mohamed Merghani
MD
9109977180

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