SOUTHPARK PEDIATRICS, P.A. is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHPARK PEDIATRICS, P.A. NPI is 1710215256. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4601 PARK RD
SUITE 100
CHARLOTTE, NC
ZIP 28209-239
Phone: (704) 522-6656
Fax: (704) 522-6665
The provider's authorized official is Leslie C Brown .
The authorized official title is Practice Administrator and has the following contact phone number (704) 896-9830.
The enumeration date for this NPI number is 11/20/2009 and was last updated on 11/20/2009.