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CHARLOTTE PEDIATRIC CLINIC NPI 1194052761


NPI Information

NPI: 1194052761
Provider Name: CHARLOTTE PEDIATRIC CLINIC

Doing Business As: CHARLOTTE PEDIATRIC CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4501 CAMERON VALLEY PKWY
STE 100
CHARLOTTE, NC
ZIP 28211
Phone: (704) 367-7400
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CHARLOTTE PEDIATRIC CLINIC is a pediatrics in Charlotte, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHARLOTTE PEDIATRIC CLINIC NPI is 1194052761. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Charlotte Pediatric Clinic.

The provider's business location address is:

4501 CAMERON VALLEY PKWY
STE 100
CHARLOTTE, NC
ZIP 28211-297
Phone: (704) 367-7400

The provider's authorized official is Scott Rissmiller .
The authorized official title is Enterprise Evp and has the following contact phone number (704) 355-8675.

The enumeration date for this NPI number is 11/3/2009 and was last updated on 2/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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