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Pedzfeedz, PLLC

Pediatrics, Pediatric Gastroenterology in Wilmington, NC. Organization (NPI-2).

NPI number1982105375
StatusActive
Last updated in NPPESMay 15, 2018

Details

NPI
1982105375
Entity type
Organization (NPI-2)
Legal business name
Pedzfeedz, PLLC
Organization subpart
No
Enumeration date
Feb 22, 2018
Last updated
May 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0206X Pediatrics, Pediatric Gastroenterology––Yes

Practice location

720 Saint James Dr
Wilmington, NC 28403

Phone 919-270-6781 · Fax 919-270-6781

Mailing address

36 Newport St
Ocean Isle Beach, NC 28469-7626

Phone 919-270-6781

Authorized official

Nannette Blois Martin
Ceo
9192706781

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