Provider Demographics
NPI:1649955121
Name:PEDIATRIC CONSULTANT AND PROFESSIONAL WRITING SERVICES, PLLC
Entity type:Organization
Organization Name:PEDIATRIC CONSULTANT AND PROFESSIONAL WRITING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERIYANAYAGAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-084-4374
Mailing Address - Street 1:6622 FOX RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-8089
Mailing Address - Country:US
Mailing Address - Phone:252-412-1838
Mailing Address - Fax:
Practice Address - Street 1:10115 KINCEY AVE STE 148
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6482
Practice Address - Country:US
Practice Address - Phone:704-804-4374
Practice Address - Fax:704-288-4876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty