Organization
CONCORD CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANJU SETHI (OFFICE MANAGER)
(704) 784-1010
Entity
Organization
Contact information
Practice address
1040 VINEHAVEN DR,, CONCORD, NC 28025
(704) 784-1010
(704) 784-1013
Mailing address
1040 VINEHAVEN DRIVE, CONCORD, NC 28025
(704) 784-1010
(704) 784-1013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015H6
BCBS OF NC
NC
05
—
89015H6
—
NC
Enumeration date
08/01/2006
Last updated
08/22/2020
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