Organization · Type 2 NPI

Southpark Pediatrics, P.a.

Specialist · Charlotte, NC

NPI number 1710215256 Active

Practice location

4601 Park Rd, Suite 100
Charlotte, NC 28209-3239

Call (704) 522-6656 Map

Fax (704) 522-6665

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X9501464 (NC)

Specialist: 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.

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About NPI 1710215256

Southpark Pediatrics, P.a.'s National Provider Identifier is 1710215256, issued on Nov 20, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 20, 2009.