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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Pediatrics · CHARLOTTE, NC

Registration Details

NPI Number
1760487292
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2005 (20.874184274632 yrs)
Last Updated
Nov 8, 2018
License
30789 (NC)

Practice Information

Address
7800 PROVIDENCE RD
SUITE 203
CHARLOTTE, NC, 282262952
Browse NC providers · Browse ZIP 28226
Phone
7045122610
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in CHARLOTTE, NC

Name Credential NPI
JOMARI SHEILA TORRES M.D. 1851390371
DR. JOY KENDRICK BALL M.D 1366444218
CHRISTINE D TWERDI MD 1518959410
DR. KRISTA SCHWABACHER MORRIS M.D. 1952393886
TRACI AURELIA LADD M.D. 1659363489
MARK STEPHEN REYNOLDS M.D. 1669464244
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.