=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457306078
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL KIDS PEDIATRICS, P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2006
-----------------------------------------------------
Last Update Date | 02/27/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 131 MCDOWELL ST SUITE 100
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28801-4453
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-350-5437
-----------------------------------------------------
Fax | 828-350-1145
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 131 MCDOWELL ST SUITE 100
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28801-4453
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-350-5437
-----------------------------------------------------
Fax | 828-350-1145
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | CHRISTINE M. MORGAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 828-350-5437
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------