MOUNTAINSIDE PEDIATRIC AND ADOLESCENT CLINIC PLLC NPI 1518557073

NPI Information

NPI: 1518557073
Provider Name: MOUNTAINSIDE PEDIATRIC AND ADOLESCENT CLINIC, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
995 MAIN ST
ANDREWS, NC
ZIP 28901
Phone: (828) 321-3210
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MOUNTAINSIDE PEDIATRIC AND ADOLESCENT CLINIC, PLLC is a primary care clinic center in Andrews, NC. MOUNTAINSIDE PEDIATRIC AND ADOLESCENT CLINIC, PLLC NPI is 1518557073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

995 MAIN ST
ANDREWS, NC
ZIP 28901-087
Phone: (828) 321-3210
Fax: (828) 321-3211

The provider's authorized official is Victoria L Clements .
The authorized official title is Owner/provider and has the following contact phone number (706) 982-2721.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 5/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208000000X	Pediatrics		No
2	261QM2500X	Clinic/Center	Medical Specialty	No
3	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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