Starks Pediatrics at Mallard Creek, Pllc
NPI #1114131265 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1114131265
- Entity Type
- Organization
- Organization Name
- Starks Pediatrics at Mallard Creek, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 9, 2007
- Last Updated
- Feb 25, 2010
Practice Location
- Address
- 2315 W. ARBORS DRIVE
- Address 2
- SUITE 115
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28262-2639
- Phone
- (704) 717-2826
Authorized Official
- Name
- DR. LAWANNA MARIE STARKS, M.D.
- Title
- OWNER
- Phone
- (704) 717-2826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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