institution
Pediatric Surgical Associates, P.a.
Pediatric Surgery Physician in Charlotte, North Carolina
NPI 1174640163

Pediatric Surgical Associates, P.a. is a Pediatric Surgery Physician based in Charlotte, NC and is specialized in Pediatric Surgery. Pediatric Surgical Associates, P.a. practices in Charlotte, NC. The NPI Number for Pediatric Surgical Associates, P.a. is 1174640163 and holds a License No. 73120 (North Carolina).

The current practice location address for Pediatric Surgical Associates, P.a. is 1900 Randolph Rd, Charlotte, NC and can be reached out via phone at 704-370-0223 and via fax at 704-370-0799.

Location: 1900 Randolph Rd, Charlotte, NC, 28207-1106
institution
Provider Profile Details
NPI Number
1174640163
Provider Name
Pediatric Surgical Associates, P.a.
Credential
Provider Entity Type
Organization
Address
1900 Randolph Rd, Charlotte, NC, 28207-1106
Phone Number
704-370-0223
Fax Number
704-370-0799
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890182W 05 NC
NPA716 05 SC
institution
Provider Business Practice Location Address Details
Address
1900 Randolph Rd
City
State
Zip
28207-1106
Phone Number
704-370-0223
Fax Number
704-370-0799
person
Provider Business Mailing Address Details
Address
1900 Randolph Rd
City
State
Zip
28207-1106
Phone Number
704-370-0223
Fax Number
704-370-0799
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
73120 (North Carolina)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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