Suburban Pediatric Clinic, Inc
Pediatrics
Suburban Pediatric Clinic, Inc is a Kannapolis, North Carolina based Pediatric center with medical specialization in
General Pediatrics. Suburban Pediatric Clinic, Inc is doing business as
Suburban Pediatrics.
It is located at
3396 Cloverleaf Pkwy, Kannapolis, North Carolina - 28083-6992. They can be contacted on phone at
704-403-7740 and fax number 704-403-7750.
NPI number (Unique professional ID) for Suburban Pediatric Clinic, Inc is
1487616520 which was assigned by NPPES on 04 Apr, 2006 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 |
|---|
| Provider Name : | Suburban Pediatric Clinic, Inc |
|---|
| Other Name : | Suburban Pediatrics |
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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 : | 3396 Cloverleaf Pkwy
Kannapolis, NC, 28083-6992
United States |
|---|
| Phone Number : | 704-403-7740 |
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| Fax Number : | 704-403-7750 |
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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 : | 1487616520 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 04 Apr, 2006 |
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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 |
|---|
| 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 |
|---|
| ========= | Other | NC | TRICARE STANDARD, NON NWK |
| 896408 | Other | NC | MAMSI |
| 01491 | Other | NC | BCBS GROUP ID |
| 5906978 | MEDICAID | NC | |
| ========= | Other | NC | GROUP TAX ID |
| 6901491 | 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 : | 3396 Cloverleaf Pkwy
Kannapolis, NC, 28083-6992
United States |
|---|
| Phone Number : | 704-403-7740 |
|---|
| Fax Number : | 704-403-7750 |
|---|
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. Last updated on 08 January, 2024.