Owen Park Pediatrics, Pa

LBN: Owen Park Pediatrics, Pa
Owen Park Pediatrics, Pa is an health care organization with primary practice located at 1520 Owen Park Ln , Fayetteville NC 28304-3454. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Owen Park Pediatrics, Pa can be contacted via phone (910) 860-3500, or through Adholla, Paul O via phone (910) 860-3500.

Contact Information

Primary practice address
1520 Owen Park Ln Fayetteville NC 28304-3454
Phone: (910) 860-3500
Fax: (910) 485-3507
Website:
Map and Directions
Authorized official contact:
Name: Adholla, Paul O Doctor of Medicine (MD)
Phone: (910) 860-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1548424104
LBN Legal business name Owen Park Pediatrics, Pa
DBA Doing business as
Authorized official Adholla, Paul O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2008
Last updated Jul 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548424104 NPPES
North Carolina MEDICAID 8911931

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