| NPI | 1215997473 |
|---|---|
| Doing Business As | HICKORY GROVE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ANITA MEHTA Owner/Chief Medical Officer 704-509-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 87997) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-10-23 |