Organization
CARMEL PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADA BARBARA DICKINSON M.D. (PRESIDENT OF CARMEL PEDIATRICS, PA)
(704) 752-2000
Entity
Organization
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, SUITE 100, CHARLOTTE, NC 28277-3174
(704) 752-2000
(704) 752-1212
Mailing address
7825 BALLANTYNE COMMONS PKWY, SUITE 100, CHARLOTTE, NC 28277-3174
(704) 752-2000
(704) 752-1212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
93-00080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890196T
—
NC
Enumeration date
12/09/2009
Last updated
01/03/2011
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