Individual
CHARLES ANDREW LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10305 HAMPTONS PARK DR STE 101, HUNTERSVILLE, NC 28078
(704) 384-1130
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2006-00955
NC
2080A0000X
Pediatric Adolescent Medicine Physician
2006-00955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578676979
—
NC
Enumeration date
08/17/2006
Last updated
10/28/2020
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