Grace Pediatric Clinic, P.A. in Charlotte - Pediatrics
Grace Pediatric Clinic, P.A. - NPI 1447307384
Grace Pediatric Clinic, P.A. is a Pediatrics in Charlotte, North Carolina. Grace Pediatric Clinic, P.A. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Grace Pediatric Clinic, P.A. is 1447307384. The last update date is 2020-08-22.
Grace Pediatric Clinic, P.A.'s current location address is 2401 Tuckaseegee Rd, Charlotte, North Carolina. You can contact this provider via phone number 7044093000 and fax number 7044092382. The mailing address for Grace Pediatric Clinic, P.A. is 2401 Tuckaseegee Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Pediatric Clinic, P.A. |
|---|---|
| Address | 2401 Tuckaseegee Rd, Charlotte, North Carolina |
| Phone Number | 7044093000 |
| Fax Number | 7044092382 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Tokunboh Julius |
| Credentials | M.D. |
| Telephone Number | 7094093000 |
NPI Number Detail
| NPI Number | 1447307384 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2401 Tuckaseegee Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282084058 |
| Phone Number | 7044093000 |
| Fax Number | 7044092382 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 9800405 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891359N | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Grace Pediatric Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Grace Pediatric Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1447307384. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Grace Pediatric Clinic, P.A.?
The Grace Pediatric Clinic, P.A. is situated at 2401 Tuckaseegee Rd, in the city of Charlotte, state of NC, with the zip code 282084058.
What is Grace Pediatric Clinic, P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grace Pediatric Clinic, P.A. is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date was the 1447307384 assigned to Grace Pediatric Clinic, P.A.?
The Grace Pediatric Clinic, P.A. was issued its 1447307384 on 2007-01-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Grace Pediatric Clinic, P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Grace Pediatric Clinic, P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.