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NPI Code Detail

MEDICARE: UNIVERSITY PEDIATRICS

MEDICARE: UNIVERSITY PEDIATRICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1609102649
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY PEDIATRICS
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number : 704-631-0002
Fax Number :
Provider Business Practice Location Address
First Line : 10545 BLAIR RD
Second Line : SUITE 3200
City : MINT HILL
State : NC
Zip : 28227-2800
Country : US
Telephone Number : 704-863-9550
Fax Number :
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : THOMAS LAYMON
Credential :
Telephone Number : 704-446-8250
Provider Enumeration Date : 10/27/2009
Last Update Date : 08/20/2019

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Directions to “UNIVERSITY PEDIATRICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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