Hickory Grove Pediatrics

LBN: Carohealth Associates, Pllc
Hickory Grove Pediatrics is an health care organization with primary practice located at 2225 East W.T. Harris Blvd Ste B, Charlotte NC 28213-5138. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Carohealth Associates, Pllc can be contacted via phone (704) 509-0933, or through Mehta, Anita via phone (704) 509-0933.

Contact Information

Primary practice address
2225 East W.T. Harris Blvd Ste B Charlotte NC 28213-5138
Phone: (704) 509-0933
Fax: (704) 509-0934
Website:
Map and Directions
Authorized official contact:
Name: Mehta, Anita Doctor of Medicine (MD)
Phone: (704) 509-0933

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 87997 North Carolina

Profile Details

NPI number 1215997473
LBN Legal business name Carohealth Associates, Pllc
DBA Doing business as Hickory Grove Pediatrics
Authorized official Mehta, Anita Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215997473 NPPES
North Carolina Other 200002210540 NC PRIVILEGE LICENSE

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