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

Jack D Anderson

Individual provider Pediatrics Physician · NPI 1417976234

Jack D Anderson is a Pediatrics Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

7030 Pineville Matthews Rd
Charlotte, NC 28226-8298
Phone: (704) 667-4150
Fax: (704) 752-7040
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 30586 (NC)

Record details

NPI number1417976234
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJune 25, 2013

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