247 KID DOC

NPI # 

Practice Address:

3304 Stonesthrow Dr

Newton, NC, 28658-8883

Practice Phone:

844-303-8006

License Number:

2016-02169

License State:

NC

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X