Organization · Type 2 NPI

Pediatric Surgical Associates, P.a.

Pediatric Surgery Physician · Charlotte, NC

NPI number 1174640163 Active

Practice location

1900 Randolph Rd, Ste 210
Charlotte, NC 28207-1106

Fax (704) 370-0799

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X73120 (NC)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

50 other providers at this address

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About NPI 1174640163

Pediatric Surgical Associates, P.a.'s National Provider Identifier is 1174640163, issued on Mar 23, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2020.