Mcm Pediatric And Adolescent Home Practice, P.A. Valid NPI

Organization · Pediatric Adolescent Medicine Physician · Rockingham, NC

NPI

1205967460

Type

Organization (Type 2)

Primary specialty

Pediatric Adolescent Medicine Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080A0000X

License number

2005-01870 (NC)

Enumerated

2007-03-08

Last updated

2015-04-15