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PALMETTO PEDIATRICS NPI 1528397593


NPI Information

NPI: 1528397593
Provider Name: PALMETTO PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
9332 S TRYON ST
CHARLOTTE, NC
ZIP 28273
Phone: (803) 327-5772
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PALMETTO 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. PALMETTO PEDIATRICS NPI is 1528397593. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9332 S TRYON ST
CHARLOTTE, NC
ZIP 28273-108
Phone: (803) 327-5772
Fax: (803) 327-9303

The provider's authorized official is Daniel L. Wiens .
The authorized official title is Senior Vice President Of Operations and has the following contact phone number (704) 355-0648.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 3/5/2010.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPB360MEDICAIDSOUTH CAROLINA

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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