OrganizationActive
Easter Seals Ucp North Carolina & Virginia,inc.
NPI 1386078244 · Pediatric Adolescent Medicine Physician · Fayetteville, NC
Provider details
- NPI number
- 1386078244
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edwards Richard, Vp Service Line(919) 865-8780
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
223 Hull Rd
Fayetteville, NC 28303-5912
Phone: (910) 483-7283
Approximate (ZIP-level) locationGet directions
Mailing address
5171 Glenwood Ave
Raleigh, NC 27612-3266
Registry dates
- Enumerated
- 2013-08-28
- Last updated
- 2013-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.