| Salisbury Pediatric Associates, Pa | |
|
17810 Statesville Rd Suite 311 Cornelius NC 28031-8148 | |
| (704) 655-6300 | |
| (704) 655-7997 |
| Full Name | Salisbury Pediatric Associates, Pa |
|---|---|
| Speciality | Pediatrics |
| Location | 17810 Statesville Rd, Cornelius, North Carolina |
| Authorized Official Name and Position | Shepard Sewell Averitt (ADMINISTRATOR) |
| Authorized Official Contact | 7042162020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salisbury Pediatric Associates, Pa 129 Woodson St Salisbury NC 28144-3255 Ph: (704) 636-5576 | Salisbury Pediatric Associates, Pa 17810 Statesville Rd Suite 311 Cornelius NC 28031-8148 Ph: (704) 655-6300 |
| NPI Number | 1124356019 |
|---|---|
| Provider Enumeration Date | 12/03/2009 |
| Last Update Date | 12/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124356019 | NPI | - | NPPES |
| 8902597 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Secondary |
| 208000000X | Pediatrics | (North Carolina) | Primary |
Diabetic Special Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19900 W Catawba Ave, Cornelius, NC 28031 Phone: 704-895-8478 Fax: 704-895-8478 | |
Carolinas Physicians Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9606 Caldwell Commons Cir, Ste B, Cornelius, NC 28031 Phone: 704-892-3213 Fax: 704-892-3966 | |
Innovative Healthcare Management Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031 Phone: 704-473-5263 Fax: 704-731-0961 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031 Phone: 704-316-5170 Fax: 704-316-5172 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031 Phone: 704-384-1775 Fax: 704-384-1776 | |
Kastle Chiropractic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16930 W Catawba Ave Ste 101, Cornelius, NC 28031 Phone: 704-659-6734 |