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Organization
CAROLINAS MEDICAL CENTER
Active
Organization
CAROLINAS MEDICAL CENTER
Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
CMC Pediatric Hematology/Oncology Psych
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
1001 BLYTHE BLVD, STE 601A, CHARLOTTE, NC 28203-5866
(704) 381-9900
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
06/01/2022
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