Organization
CAROHEALTH ASSOCIATES, PLLC
Active
Other names
HICKORY GROVE PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA MEHTA MD (OWNER/CHIEF MEDICAL OFFICER)
(704) 509-0933
Entity
Organization
Contact information
Practice address
2225 EAST W.T. HARRIS BLVD, STE B, CHARLOTTE, NC 28213-5138
(704) 509-0933
(704) 509-0934
Mailing address
2225 EAST W.T. HARRIS BLVD, STE B, CHARLOTTE, NC 28213-5138
(704) 509-0933
(704) 509-0934
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
87997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200002210540
NC PRIVILEGE LICENSE
NC
Enumeration date
03/23/2006
Last updated
10/23/2012
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