Healthcare Provider Details

I. General information

NPI: 1265368393
Provider Name (Legal Business Name): RAINBOW PEDIATRICS OF FAYETTEVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 FAYETTEVILLE RD
LUMBERTON NC
28358-2677
US

IV. Provider business mailing address

4300 FAYETTEVILLE RD
LUMBERTON NC
28358-2677
US

V. Phone/Fax

Practice location:
  • Phone: 910-276-7570
  • Fax:
Mailing address:
  • Phone: 214-600-4184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL DOUGLAS HAIN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 910-276-7570