Organization · Type 2 NPI

South Lake Pediatrics

Pediatrics Physician · Charlotte, NC

NPI number 1619203791 Active

Practice location

9908 Couloak Dr, Ste 103
Charlotte, NC 28216-8678

Call (704) 801-2025 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

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…

20 other providers at this address

Other pediatrics physician providers in Charlotte

See all in Charlotte →

NPI record

NPI: 1619203791
Entity type: Organization (Type 2)
Issued: Oct 26, 2009
Last updated: Jul 16, 2020
Status: Active
Subpart: Yes of South Lake Pediatrics

Other names

<unavail>
South Lake Pediatrics · doing business as
South Lake Pediatrics · doing business as

Authorized official

Thomas Laymon
Senior Vice President
(704) 446-8250

Verify this record

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.

Is this your record? How to update it.

About NPI 1619203791

South Lake Pediatrics's National Provider Identifier is 1619203791, issued on Oct 26, 2009. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 16, 2020.