Southlake Psychiatry PC
NPI #1295921724 in Davidson, North Carolina
Provider Information
- NPI Number
- 1295921724
- Entity Type
- Organization
- Organization Name
- Southlake Psychiatry PC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Sep 18, 2007
- Last Updated
- Aug 1, 2025
Practice Location
- Address
- 903 NORTHEAST DR
- Address 2
- SUITE 301
- City
- Davidson
- State
- North Carolina
- ZIP Code
- 28036
- Phone
- (704) 894-9309
Authorized Official
- Name
- DR. THOMAS MICHAEL FITZGERALD, MD
- Title
- PRESIDENT
- Phone
- (704) 894-9309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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