MEDICARE: KIDZ PEDIATRICS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2004 00397	NC

General Provider Information

NPI Number	:	1417112756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDZ PEDIATRICS, PA

Provider Business Mailing Address
First Line	:	285 W DORA ST
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-9542
Country	:	US
Telephone Number	:	919-639-9995
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 W DORA ST
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-9542
Country	:	US
Telephone Number	:	919-639-9995
Fax Number	:

Authorized Official
Title or Position	:	BOARD DIRECTOR
Name	:	LOURDES PEREDA
Credential	:	MD
Telephone Number	:	910-489-5456

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	04/23/2015

Similar Medicare Providers

1609869437 — DR. LOURDES AMPARO PEREDA MD
Practice Location Address:

285 W DORA ST
ANGIER, NC
27501-9542

Practice Phone: 919-639-9995
Practice Fax: 919-639-3518

1306358650 — MRS. AMANDA ANN LONG MSN, RN, CPNP-PC
Practice Location Address:

285 W DORA ST
ANGIER, NC
27501-9542

Practice Phone: 919-639-9995
Practice Fax: 919-639-3518

1871449249 — KRISTEN LEIGH BROWN PHARMD
Practice Location Address:

116 W DEPOT ST
ANGIER, NC
27501-6696

Practice Phone: 919-639-2910
Practice Fax:

1407667934 — LAUREN HILL
Practice Location Address:

9621 BITTER MELON DR
ANGIER, NC
27501-5917

Practice Phone: 919-275-9675
Practice Fax:

1851248561 — DAISY LORENA SANTIN
Practice Location Address:

120 N BROAD ST E
ANGIER, NC
27501-6573

Practice Phone: 910-606-4199
Practice Fax: 910-535-6026

1881540482 — AUGUSTA ASHWORTH
Practice Location Address:

2529 HARNETT CENTRAL RD
ANGIER, NC
27501-7039

Practice Phone: 919-639-6000
Practice Fax:

Directions to “KIDZ PEDIATRICS, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.