Provider Demographics
NPI:1427281070
Name:VERDIN PEDIATRICS, PLLC
Entity type:Organization
Organization Name:VERDIN PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:VERDIN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:910-575-3522
Mailing Address - Street 1:9869 OCEAN HWY W STE 12
Mailing Address - Street 2:
Mailing Address - City:CALABASH
Mailing Address - State:NC
Mailing Address - Zip Code:28467-2636
Mailing Address - Country:US
Mailing Address - Phone:910-575-3522
Mailing Address - Fax:910-575-3580
Practice Address - Street 1:9869 OCEAN HWY W STE 12
Practice Address - Street 2:
Practice Address - City:CALABASH
Practice Address - State:NC
Practice Address - Zip Code:28467-2636
Practice Address - Country:US
Practice Address - Phone:910-575-3522
Practice Address - Fax:910-575-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty