Providence Pediatrics
Providence Pediatrics is a Pediatrics Physician in Charlotte, North Carolina. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
14214 Ballantyne Lake Rd Ste 300Charlotte, NC 28277-3372
Phone: (704) 364-3740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1326078072 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Pediatrics |
| Authorized official | Scott Rissmiller — Enterprise Evp · (704) 355-8675 |
| Other names | Atrium Health Levine Children'S Providence Pediatrics; Providence Pediatrics |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | March 9, 2023 |
| Mailing address | Po Box 19305, Charlotte, NC 28219-9305 |
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