South Lake Pediatrics
South Lake Pediatrics provides Pediatrics Physician services in Charlotte, North Carolina. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
9908 Couloak Dr Ste 103Charlotte, NC 28216-8678
Phone: (704) 801-2025
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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 | 1619203791 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | South Lake Pediatrics |
| Authorized official | Thomas Laymon — Senior Vice President · (704) 446-8250 |
| Other names | South Lake Pediatrics; South Lake Pediatrics |
| NPI enumerated | October 26, 2009 |
| Last updated in NPPES | July 16, 2020 |
| Mailing address | Po Box 19305, Charlotte, NC 28219-9305 |
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