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Organization

QC KIDZ PEDIATRICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANCY UTOH MD (PEDIATRICIAN)
(704) 340-3923
Entity
Organization

Contact information

Practice address
6801 SOUTH BLVD, CHARLOTTE, NC 28217-4458
(704) 340-3923
Mailing address
6801 SOUTH BLVD, CHARLOTTE, NC 28217-4458
(704) 340-3923

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2005-01936
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902894
NC
Enumeration date
03/03/2011
Last updated
03/03/2011
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