Organization
HARBORSIDE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY H RINKER M.D. (PEDIATRICIAN)
(704) 664-2552
Entity
Organization
Contact information
Practice address
311 WILLIAMSON RD, STE 100, MOORESVILLE, NC 28117-5966
(704) 664-2552
(704) 664-5382
Mailing address
311 WILLIAMSON RD, STE 100, MOORESVILLE, NC 28117-5966
(704) 664-2552
(704) 664-5382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012P1
BLUE CROSS BLUE SHIELD NC
NC
05
—
89012P1
—
NC
Enumeration date
05/02/2006
Last updated
01/06/2009
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