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Organization
EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC
Active
Organization
EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC
Active
Parent organization
EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC
Other names
Atrium Health Women's Care Eastover OB/GYN, Eastover Obstetrics and Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
7810 PROVIDENCE RD, STE 105, CHARLOTTE, NC 28226-2954
(704) 446-7800
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
11/03/2009
Last updated
03/09/2023
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