Provider Demographics
NPI:1548548787
Name:N.C PEDIATRIC ASSOCIATES
Entity type:Organization
Organization Name:N.C PEDIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORNELIUS
Authorized Official - Middle Name:F
Authorized Official - Last Name:CATHCART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-492-9565
Mailing Address - Street 1:1415A COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2578
Mailing Address - Country:US
Mailing Address - Phone:919-693-7337
Mailing Address - Fax:919-692-1465
Practice Address - Street 1:1415 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2578
Practice Address - Country:US
Practice Address - Phone:919-693-7337
Practice Address - Fax:919-692-1465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0069661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty