Carolinas Medical Center

NPI #1083905079 in Charlotte, North Carolina

Provider Information

NPI Number
1083905079
Entity Type
Organization
Organization Name
Carolinas Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
CAROLINAS MEDICAL CENTER
Primary Specialty
Pediatrics
Enumeration Date
Apr 25, 2011
Last Updated
Apr 25, 2011

Practice Location

Address
14214 BALLANTYNE LAKE RD
Address 2
SUITE 150
ZIP Code
28277-3372
Phone
(704) 667-2680

Authorized Official

Name
MR. DENNIE UNDERWOOD
Title
VICE PRESIDENT
Phone
(704) 355-3147

Specialties & Taxonomy Codes

Specialty
Pediatrics

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