Organization
CALLISTO PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MOON MD (CEO)
(513) 225-8170
Entity
Organization
Contact information
Practice address
320 SEAGLE STREET SUITE#10, HUNTERSVILLE, NC 28078
(704) 368-4351
Mailing address
145 TOWN LOOP APT B107, MOORESVILLE, NC 28117-0020
(513) 225-8170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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