Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Lake Pediatrics

Organization Pediatrics Physician · NPI 1740755610

South Lake Pediatrics is a Pediatrics Physician in Denver, North Carolina. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1585 Forney Creek Pkwy Ste 2100
Denver, NC 28037-9514
Phone: (704) 801-3097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1740755610
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Lake Pediatrics
Authorized official Thomas Laymon — Senior Vice President · (704) 446-8250
Other names South Lake Pediatrics; South Lake Pediatrics
NPI enumeratedOctober 8, 2018
Last updated in NPPESJuly 16, 2020
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

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