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NPI Code Detail

MEDICARE: RAINBOW PEDIATRICS OF FAYETTEVILLE PA

MEDICARE: RAINBOW PEDIATRICS OF FAYETTEVILLE 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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1265368393
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAINBOW PEDIATRICS OF FAYETTEVILLE PA
Provider Business Mailing Address
First Line : 4300 FAYETTEVILLE RD
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-2677
Country : US
Telephone Number : 214-600-4184
Fax Number :
Provider Business Practice Location Address
First Line : 4300 FAYETTEVILLE RD
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-2677
Country : US
Telephone Number : 910-276-7570
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : PAUL DOUGLAS HAIN
Credential : MD
Telephone Number : 910-276-7570
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “RAINBOW PEDIATRICS OF FAYETTEVILLE PA ” Practice Location

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