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1437102381
CENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE, PA
MOORESVILLE, NC
NPI
1437102381
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Entity Type
Organization
Authorized Contact
ELIZABETH ELLEN TILT
President
704-799-2878
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 118445)
Enumeration Date
2006-05-19
Last Update Date
2013-07-24
Business Address
CENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE, PA
136 GATEWAY BLVD STE A
MOORESVILLE, NC 28117-5608
Phone number: 704-799-2878
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Mailing Address
CENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE, PA
136 GATEWAY BLVD STE A
MOORESVILLE, NC 28117-5608
Phone number: 704-799-2878
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