South Lake Pediatrics
Pediatrics
South Lake Pediatrics is a Charlotte, North Carolina based Pediatric center with medical specialization in
General Pediatrics. South Lake Pediatrics is doing business as
South Lake Pediatrics.
It is located at
9908 Couloak Dr, Ste 103, Charlotte, North Carolina - 28216-8678. They can be contacted on phone at
704-801-2025.
NPI number (Unique professional ID) for South Lake Pediatrics is
1619203791 which was assigned by NPPES on 26 Oct, 2009 and it was last updated on 16 Jul, 2020.
South Lake Pediatrics 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:
South Lake Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | South Lake Pediatrics |
|---|
| Other Name : | South Lake Pediatrics |
|---|
Business Address:
South Lake Pediatrics 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 : | 9908 Couloak Dr, Ste 103
Charlotte, NC, 28216-8678
United States |
|---|
| Phone Number : | 704-801-2025 |
|---|
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 : | 1619203791 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 26 Oct, 2009 |
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| Last Updated On : | 16 Jul, 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 : | Thomas Laymon |
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| Official Title or Position : | SENIOR VICE PRESIDENT |
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| Phone Number : | 704-446-8250 |
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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 South Lake Pediatrics are as mentioned. Primary taxonomy code for South Lake Pediatrics is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
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 : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
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| Phone Number : | 704-631-0002 |
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Business Location:
Patients can refer following map for directions to
South Lake Pediatrics 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.