OrganizationActive
247 Kid Doc
NPI 1073063459 · Primary Care Clinic/Center · Newton, NC
Provider details
- NPI number
- 1073063459
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Timothy Shannon, President
- License
- 2016-02169 (NC)
Mailing address
3304 Stonesthrow Dr
Newton, NC 28658-8883
Registry dates
- Enumerated
- 2016-10-10
- Last updated
- 2016-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.