Charlotte Pediatric Clinic

NPI #1710914171 in Matthews, North Carolina

Provider Information

NPI Number: 1710914171
Entity Type: Organization
Organization Name: Charlotte Pediatric Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: CHARLOTTE PEDIATRIC CLINIC
Primary Specialty: Pediatrics
Enumeration Date: Jun 28, 2006
Last Updated: Mar 9, 2023

Practice Location

Address: 332 N TRADE ST
Address 2: STE 1500
City: Matthews
State: North Carolina
ZIP Code: 28105-1728
Phone: (704) 545-8656

Authorized Official

Name: SCOTT RISSMILLER
Title: ENTERPRISE EVP
Phone: (704) 355-8675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Provider Name	Specialty	City
DR. Scott Warren Thomas, M.D.	Pediatrics	Matthews	AI Deep Dive
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Blaire Marie Williams Smith, D.O.	Pediatrics	Matthews	AI Deep Dive
DR. Meredith Calcina Davitte, MD	Pediatrics	Matthews	AI Deep Dive
DR. Hala Ahmed Elhemaily, M.D.	Pediatrics	Matthews	AI Deep Dive

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