Search › North Carolina › 363L00000X
Latane Grove, NP
NPI 1225316060 · on the registry since 2011
Practice
- Address
- 3396 Cloverleaf Pkwy
Kannapolis, NC 28083 - Phone
- (704) 403-7740
- Organisation at this address
- Suburban Pediatric Clinic, Inc
Carolinas Physicians Network IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1085 Ne Gateway Ct Ne, Concord, NC
- 1100 Blythe Blvd, Charlotte, NC
- 1000 Blythe Blvd, Charlotte, NC
- 2301 Us Highway 74 W, Wadesboro, NC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina