NPI 1215177498

Adrea D Theodore, MDMPH

Practitioner Pediatrics Physician Burlington, NC

Practice location

Address: 1206-B Vaughn Road, Burlington, NC 27216
Phone: (336) 228-0813
Fax: (336) 228-7087
Mailing address: 1206-B Vaughn Road P. O. Box 673, Burlington, NC 27216

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 9701880 (NC)

Other Pediatrics providers in North Carolina →

Registry record

NPI: 1215177498
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2009
Record last updated: 14 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.