Oceanside Pediatrics
Pediatrics in Morehead City, NC. Organization (NPI-2).
NPI number1750526257
StatusActive
Last updated in NPPESJul 27, 2012
Details
- NPI
- 1750526257
- Entity type
- Organization (NPI-2)
- Legal business name
- Oceanside Pediatrics
- Organization subpart
- No
- Enumeration date
- Dec 11, 2008
- Last updated
- Jul 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 153474 | NC | Yes |
Practice location
3701 John Platt DrMorehead City, NC 28557-4372
Phone 252-622-4448 · Fax 252-622-4014
Mailing address
3701 John Platt DrMorehead City, NC 28557-4372
Phone 252-622-4448 · Fax 252-622-4014
Authorized official
Andrew Kenneth Kiluk
Owner
2526224448
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