Individual
BETH A SCISCIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASLP
Contact information
Practice address
8654 WALSHAM DR, CHARLOTTE, NC 28277-1850
(704) 572-9782
Mailing address
8654 WALSHAM DR, CHARLOTTE, NC 28277-1850
(704) 572-9782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2515
NC
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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