Organization
MIDCAROLINA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW E IGHADE MD (OWNER)
(704) 588-0232
Entity
Organization
Contact information
Practice address
2540 W ARROWOOD RD STE 100, CHARLOTTE, NC 28273
(704) 588-0232
(704) 588-0445
Mailing address
2540 W ARROWOOD RD STE 100, CHARLOTTE, NC 28273-6198
(704) 588-0232
(704) 588-0445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200201480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18913257
—
NC
Enumeration date
06/06/2006
Last updated
03/14/2011
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