Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 200600678 | NC |
NPI | 1003849134 |
---|---|
Provider Name | Dr. Meredith G Pochick |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28226-3379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 21/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
143A4 | BCBS (01) | NC |
5904138 | (05) | NC |
N78006 | (05) | SC |