Herbert Clegg II
Pediatrician Pediatric Infectious Diseases
517 S Sharon Amity Rd
Charlotte
, North Carolina 28211-2975
Herbert Clegg II
Pediatrician Pediatric Infectious Diseases
517 S Sharon Amity Rd
Charlotte
, North Carolina 28211-2975
(704) 384-8819
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Herbert Clegg II
- Po Box 60447
- Charlotte, NC
- Zip : 28260-0447
- Fax : (704) 384-8819
- Phone : (704) 384-8800
Second Address
- Herbert Clegg II
- 517 S Sharon Amity Rd
- Charlotte, NC
- Zip : 28211-2975
- Fax : (704) 384-8819
- Phone : (704) 384-8800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 26211 | NC |
| N | 2080P0208X | Pediatric Infectious Diseases | 26211 | NC |
National Provider Identifier
| NPI | 1669468237 |
|---|---|
| Provider Name | Herbert Clegg II |
| First Address | Charlotte, NC 28260-0447 |
| Second Address | Charlotte, NC 28211-2975 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 18/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8922984 | (05) | NC |
| F42951 | (02) | NC |
| N26211 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.