Organization
GROWING UP PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALORIE S BYRD R.N (OFFICE MANAGER)
(704) 895-9060
Entity
Organization
Contact information
Practice address
8311 MAGNOLIA ESTATES DR, SUITE E, CORNELIUS, NC 28031-8070
(704) 895-9060
(704) 895-6494
Mailing address
8311 MAGNOLIA ESTATES DR, SUITE E, CORNELIUS, NC 28031-8070
(704) 895-9060
(704) 895-6494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011G6
—
NC
Enumeration date
03/23/2006
Last updated
06/28/2012
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