Carolina Pediatric Center, Pllc
LBN: Carolina Pediatric Center, Pllc
Carolina Pediatric Center, Pllc is an health care organization with primary practice located at 239 Wilmot Dr Ste A , Gastonia NC 28054-4048. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Carolina Pediatric Center, Pllc can be contacted via phone (704) 864-0303, or through Mijumbi, Olivia B via phone (704) 864-0303.
Contact Information
Primary practice address
239 Wilmot Dr Ste A
Gastonia NC 28054-4048
Phone: (704) 864-0303
Fax: (704) 864-6070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1538501903 |
|---|---|
| LBN Legal business name | Carolina Pediatric Center, Pllc |
| DBA Doing business as | |
| Authorized official | Mijumbi, Olivia B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2013 |
| Last updated | Feb 1st, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538501903 | NPPES |
| North Carolina | Other | 2900124 | AETNA |
| North Carolina | Other | 9554744001 | AETNA |
| North Carolina | Other | 9259849 | AETNA |
| North Carolina | Other | 12-01098 | AETNA |
| North Carolina | Other | 1322Y | AETNA |
| North Carolina | MEDICAID | 891322Y | AETNA |
| North Carolina | Other | A8708 | AETNA |
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