Provider Demographics
NPI:1891897039
Name:HARNETT PEDIATRICS, P.C.
Entity Type:Organization
Organization Name:HARNETT PEDIATRICS, P.C.
Other - Org Name:LEARNING AND DEVELOPMENT ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-380-9962
Mailing Address - Street 1:3500 GATEWAY CENTRE BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9601
Mailing Address - Country:US
Mailing Address - Phone:919-380-0028
Mailing Address - Fax:919-380-7820
Practice Address - Street 1:3500 GATEWAY CENTRE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9601
Practice Address - Country:US
Practice Address - Phone:919-380-0028
Practice Address - Fax:919-380-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8986356Medicaid
NC0273AOtherBCBS GROUP NUMBER
NC0273AOtherBCBS GROUP NUMBER