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KNOX PEDIATRICS OF BRUNSWICK, PLLC
NPI 1750458428
Specialist in Supply, NC

Active since November 29, 2006
20 MEDICAL CAMPUS DR., SUITE 207, SUPPLY, NC 28462(910) 755-5066(910) 755-5099 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Knox Pediatrics Of Brunswick, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNOX PEDIATRICS OF BRUNSWICK, PLLC (NPI 1750458428) is a healthcare organization registered as a specialist in Supply, North Carolina and active in the NPI registry since November 2006. The organization lists Angelina Edralin Knox, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750458428
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKNOX PEDIATRICS OF BRUNSWICK, PLLC
Location Address20 MEDICAL CAMPUS DR., SUITE 207Supply, NC 28462-4094
Mailing Address20 Medical Campus Dr., Suite 207Supply, NC 28462-4092 · (910) 755-5066 · Fax (910) 755-5099
Phone(910) 755-5066
Fax(910) 755-5099
Organization SubpartNo
Authorized OfficialAngelina Edralin KnoxAdministrator · (910) 763-3349
Enumeration DateNovember 29, 2006
Last NPPES UpdateApril 4, 2011
✔ NPI 1750458428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 16200
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20 MEDICAL CAMPUS DR., Supply, NC 28462
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Other Identifiers 4

Other1841218716NC · Npi
Medicare UPINF17408NC
Medicaid8949897NC
Medicaid5903109NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Knox Pediatrics Of Brunswick, PLLC's NPI number?

The NPI number for Knox Pediatrics Of Brunswick, PLLC is 1750458428. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Knox Pediatrics Of Brunswick, PLLC located?

Knox Pediatrics Of Brunswick, PLLC is located at 20 Medical Campus Dr. Suite 207, Supply, NC 28462. The listed phone number is (910) 755-5066.

What is Knox Pediatrics Of Brunswick, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Knox Pediatrics Of Brunswick, PLLC was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.