Suburban Pediatric Clinic, Inc.
Pediatrics
Suburban Pediatric Clinic, Inc. is a Davidson, North Carolina based Pediatric center with medical specialization in
General Pediatrics. Suburban Pediatric Clinic, Inc. is doing business as
Suburban Pediatric Clinic - Davidson.
It is located at
2101 Shiloh Church Rd, Suite 101, Davidson, North Carolina - 28036-7603. They can be contacted on phone at
704-439-3700 and fax number 704-439-3729.
NPI number (Unique professional ID) for Suburban Pediatric Clinic, Inc. is
1447303680 which was assigned by NPPES on 19 Jan, 2007 and it was last updated on 26 Jan, 2016.
Suburban Pediatric Clinic, Inc. 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:
Suburban Pediatric Clinic, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Suburban Pediatric Clinic, Inc. |
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| Other Name : | Suburban Pediatric Clinic - Davidson |
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Business Address:
Suburban Pediatric Clinic, Inc. 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 : | 2101 Shiloh Church Rd, Suite 101
Davidson, NC, 28036-7603
United States |
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| Phone Number : | 704-439-3700 |
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| Fax Number : | 704-439-3729 |
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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 : | 1447303680 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Jan, 2007 |
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| Last Updated On : | 26 Jan, 2016 |
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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 : | Thomasf Laymon |
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| Official Title or Position : | SR. VICE PRESIDENT |
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| Phone Number : | 704-403-2276 |
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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 Suburban Pediatric Clinic, Inc. are as mentioned. Primary taxonomy code for Suburban Pediatric Clinic, Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Suburban Pediatric Clinic, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01491 | Other | NC | BCBS GROUP ID |
| ========= | Other | NC | GROUP TAX ID |
| =========002 | Other | NC | TRICARE STANDARD, NON NWK |
| 896408 | Other | NC | MAMSI |
| 5903375 | MEDICAID | NC | |
| 5906983 | 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 : | 2101 Shiloh Church Rd, Suite 101
Davidson, NC, 28036-7603
United States |
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| Phone Number : | 704-439-3700 |
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| Fax Number : | 704-439-3729 |
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Business Location:
Patients can refer following map for directions to
Suburban Pediatric Clinic, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.