OrganizationActive
Pediatric Surgical Associates, P.A.
NPI 1174640163 · Pediatric Surgery Physician · Charlotte, NC
Provider details
- NPI number
- 1174640163
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Linda Boyd, Administrator
- License
- 73120 (NC)
Practice location
1900 Randolph Rd
Ste 210
Charlotte, NC 28207-1106
Phone: (704) 370-0223
Fax: (704) 370-0799
Mailing address
1900 Randolph Rd
Charlotte, NC 28207-1106
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.