Organization · Type 2 NPI

Carolinas Medical Center

Pediatrics Physician · Charlotte, NC

NPI number 1083905079 Active

Practice location

14214 Ballantyne Lake Rd, Suite 150
Charlotte, NC 28277-3372

Call (704) 667-2680 Map

Mailing address

PO Box 601372
Charlotte, NC 28260-1372

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: 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 de…

52 other providers at this address

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NPI record

NPI: 1083905079
Entity type: Organization (Type 2)
Issued: Apr 25, 2011
Last updated: Apr 25, 2011
Status: Active
Subpart: Yes of Carolinas Medical Center

Other names

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Levine Children's Specialty Center - Ballantyne · doing business as

Authorized official

Mr. Dennie Underwood
Vice President
(704) 355-3147

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083905079

Carolinas Medical Center's National Provider Identifier is 1083905079, issued on Apr 25, 2011. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 25, 2011.