Organization
NORTHLAKE CHILDREN'S ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY SCHIPPER R.N. (OFFICE/CLINICAL MANAGER)
(704) 663-5240
Entity
Organization
Contact information
Practice address
170A MEDICAL PARK RD, SUITE 102, MOORESVILLE, NC 28117
(704) 663-5240
(704) 663-5399
Mailing address
170A MEDICAL PARK RD, SUITE 102, MOORESVILLE, NC 28117
(704) 663-5240
(704) 663-5399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011NT
—
NC
Enumeration date
05/21/2007
Last updated
05/02/2019
Update your record
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