Center For Pediatrics And Adolescent Medicine, Pa

LBN: Center For Pediatrics And Adolescent Medicine, Pa
Center For Pediatrics And Adolescent Medicine, Pa is an health care organization with primary practice located at 136 Gateway Blvd Ste A , Mooresville NC 28117-5608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Center For Pediatrics And Adolescent Medicine, Pa can be contacted via phone (704) 799-2878, or through Tilt, Elizabeth Ellen via phone (704) 799-2878.

Contact Information

Primary practice address
136 Gateway Blvd Ste A Mooresville NC 28117-5608
Fax: (704) 799-1627
Website:
Authorized official contact:
Name: Tilt, Elizabeth Ellen Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 118445 North Carolina

Profile Details

NPI number 1437102381
LBN Legal business name Center For Pediatrics And Adolescent Medicine, Pa
DBA Doing business as
Authorized official Tilt, Elizabeth Ellen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jul 24th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437102381 NPPES
North Carolina MEDICAID 89015J3

Popular Providers