Organization
SALISBURY PEDIATRIC ASSOCIATES, PA
Active
Other names
Touchstone Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHEPARD SEWELL AVERITT IV MED. (ADMINISTRATOR)
(704) 216-2020
Entity
Organization
Contact information
Practice address
17810 STATESVILLE RD, SUITE 311, CORNELIUS, NC 28031-8148
(704) 655-6300
(704) 655-7997
Mailing address
129 WOODSON ST, SALISBURY, NC 28144-3255
(704) 636-5576
(704) 216-2011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NC
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902597
—
NC
Enumeration date
12/03/2009
Last updated
12/03/2009
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