PROVIDENCE PEDIATRICS 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. PROVIDENCE PEDIATRICS NPI is 1326078072. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence Pediatrics.
The provider's business location address is:
14214 BALLANTYNE LAKE RD
STE 300
CHARLOTTE, NC
ZIP 28277-372
Phone: (704) 364-3740
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 CLIA number assigned to this NPI record is 34D2116164 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/4/2006 and was last updated on 2/4/2022.