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Carolinas Medical Center-Northeast

Pediatrics, Developmental - Behavioral Pediatrics in Charlotte, NC. Organization (NPI-2).

NPI number1144580754
StatusActive
Last updated in NPPESJul 30, 2013

Details

NPI
1144580754
Entity type
Organization (NPI-2)
Legal business name
Carolinas Medical Center-Northeast
Organization subpart
Yes
Enumeration date
May 17, 2012
Last updated
Jul 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics––Yes

Other names

  • Development & Behavioral Pediatrics Of The Carolina'S-Charlotte (Doing Business As)

Practice location

4501 Cameron Valley Pkwy
Suite 301-B
Charlotte, NC 28211-4297

Phone 704-403-2626 · Fax 704-403-6949

Mailing address

4501 Cameron Valley Pkwy
Suite 301-B
Charlotte, NC 28211-4297

Phone 704-403-2626 · Fax 704-403-6949

Authorized official

Frieda M Lowder
Sr. Vice President
7044034146

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Other Developmental - Behavioral Pediatrics Physician providers in Charlotte, NC

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