# CAROLINAS PHYSICIANS NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS PHYSICIANS NETWORK INC
- **Other names:** Atrium Health LiveWell Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215685433
- **Legal business name:** CAROLINAS PHYSICIANS NETWORK INC
- **Authorized official:** DR. SCOTT CLIFTON RISSMILLER MD (EVP & CHIEF PHYSICIAN EXECUTIVE)
- **Authorized official phone:** (704) 446-3507

## Contact information

- **Practice address:** 201 E GROVER ST STE 2000, SHELBY, NC 28150-3917
- **Practice address phone:** (980) 487-3022
- **Practice address fax:** (704) 446-3575
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002
- **Mailing address fax:** (704) 446-3569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 03/16/2022