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Pediatric Urology Associates
Medical Physician Assistant in Charlotte, North Carolina
NPI 1376593061

Pediatric Urology Associates is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Pediatric Urology Associates practices in Charlotte, NC. The NPI Number for Pediatric Urology Associates is 1376593061 and holds a License No. 9600282 (North Carolina).

The current practice location address for Pediatric Urology Associates is 3135 Springbank Lane, Charlotte, NC and can be reached out via phone at 704-540-3667 and via fax at 704-540-3668.

Location: 3135 Springbank Lane, Charlotte, NC, 28226-3360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376593061
Provider Name
Pediatric Urology Associates
Credential
Provider Entity Type
Organization
Address
3135 Springbank Lane, Charlotte, NC, 28226-3360
Phone Number
704-540-3667
Fax Number
704-540-3668
Provider Enumeration Date
05/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51818 05 NC
02367 01 NC BCBS
8951818 05 NC
institution
Provider Business Practice Location Address Details
Address
3135 Springbank Lane
City
Charlotte
State
North Carolina
Zip
28226-3360
Phone Number
704-540-3667
Fax Number
704-540-3668
person
Provider Business Mailing Address Details
Address
3135 Springbank Lane
City
Charlotte
State
North Carolina
Zip
28226-3360
Phone Number
704-540-3667
Fax Number
704-540-3668
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
1000392 (North Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
9600282 (North Carolina)
Definition
Definition to come...
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