Grace Pediatric Clinic, P.a.
Pediatrics
Grace Pediatric Clinic, P.a. is a Charlotte, North Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2401 Tuckaseegee Rd, Charlotte, North Carolina - 28208-4058. They can be contacted on phone at
704-409-3000 and fax number 704-409-2382.
NPI number (Unique professional ID) for Grace Pediatric Clinic, P.a. is
1447307384 which was assigned by NPPES on 04 Jan, 2007 and it was last updated on 22 Aug, 2020.
Grace Pediatric Clinic, P.a. license number is
9800405 for Pediatrics (208000000X) in North Carolina.
Grace Pediatric Clinic, P.a. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Grace Pediatric Clinic, P.a. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Grace Pediatric Clinic, P.a. |
|---|
Business Address:
Grace Pediatric Clinic, P.a. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2401 Tuckaseegee Rd
Charlotte, NC, 28208-4058
United States |
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| Phone Number : | 704-409-3000 |
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| Fax Number : | 704-409-2382 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1447307384 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 04 Jan, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Julius Tokunboh |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | MEDICAL DIRECTOR |
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| Phone Number : | 709-409-3000 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grace Pediatric Clinic, P.a. are as mentioned. Primary taxonomy code for Grace Pediatric Clinic, P.a. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 9800405 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Grace Pediatric Clinic, P.a. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 891359N | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2401 Tuckaseegee Rd
Charlotte, NC, 28208-4058
United States |
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| Phone Number : | 704-409-3000 |
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| Fax Number : | 704-409-2382 |
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Business Location:
Patients can refer following map for directions to
Grace Pediatric Clinic, P.a. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.