MEDICARE: WEE CARE PEDIATRICS, PLLC

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	9601050	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477098762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEE CARE PEDIATRICS, PLLC

Provider Business Mailing Address
First Line	:	210 E THOMAS ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27801-5435
Country	:	US
Telephone Number	:	252-210-9330
Fax Number	:	252-210-3493

Provider Business Practice Location Address
First Line	:	210 E THOMAS ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27801-5435
Country	:	US
Telephone Number	:	252-210-9330
Fax Number	:	252-210-3493

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHARON ROMNEY
Credential	:	MD
Telephone Number	:	252-210-9330

Provider Enumeration Date	:	12/22/2016
Last Update Date	:	12/22/2016

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