Healthcare Provider Details

I. General information

NPI: 1649027111
Provider Name (Legal Business Name): CHATHAM PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10329 US 15 501 N UNIT A
CHAPEL HILL NC
27517-6467
US

IV. Provider business mailing address

510 MEADOWMONT VILLAGE CIR STE 297
CHAPEL HILL NC
27517-7584
US

V. Phone/Fax

Practice location:
  • Phone: 984-999-1356
  • Fax:
Mailing address:
  • Phone: 984-999-1356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. KATHARINE DELGADO
Title or Position: CEO
Credential: MD
Phone: 984-999-1356