Center for Pediatrics and Adolescent Medicine, PA
NPI #1437102381 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1437102381
- Entity Type
- Organization
- Organization Name
- Center for Pediatrics and Adolescent Medicine, PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 19, 2006
- Last Updated
- Jul 24, 2013
Practice Location
- Address
- 136 GATEWAY BLVD STE A
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-5608
- Phone
- (704) 799-2878
Authorized Official
- Name
- DR. ELIZABETH ELLEN TILT, M.D.
- Title
- PRESIDENT
- Phone
- (704) 799-2878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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