Organization
PEDIATRIC HOUSECALL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN DUMOND DPT (CHIEF OPERATING OFFICER)
(704) 607-3483
Entity
Organization
Contact information
Practice address
1899 TATE BLVD SE, SUITE 2108, HICKORY, NC 28602-4200
(828) 327-6500
(828) 327-4700
Mailing address
6401 STARGAZE LN, CHARLOTTE, NC 28269-0802
(704) 607-3483
(704) 464-1818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200200214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135HH
—
NC
Enumeration date
01/01/2017
Last updated
01/01/2017
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