Grace Pediatric Clinic, P.a.

NPI 1447307384 - Pediatrics - 208000000X

NPI Details
NPI 1447307384
Enumeration Date 01/04/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JULIUS JULIUS
Position MEDICAL DIRECTOR
Phone (704) 409-3000
Fax (704) 409-2382
Practice Location
2401 TUCKASEEGEE RD
CHARLOTTE NC, 28208-4058, US
Phone (704) 409-3000
Fax (704) 409-2382
Business Location
2401 TUCKASEEGEE RD
CHARLOTTE NC, 28208-4058, US
Phone (704) 409-3000
Fax (704) 409-2382
Toxanomy
Taxonomy Code 208000000X
License State North Carolina
License Number 9800405
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According to our database, Grace Pediatric Clinic, P.a. NPI is 1447307384, taxonomy code is 208000000X and license number is 9800405, license state is located at North Carolina. Grace Pediatric Clinic, P.a. physically located at 2401 Tuckaseegee Rd, Charlotte NC, 28208-4058. NPI Number 1033115704 has the healthcare provider type.

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1447307384 NPI number is provided on an as is basis without warranty of any kind. 1447307384 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Pediatric Clinic, P.a. are for informational purposes only.