# CAROLINAS PHYSICIANS NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS PHYSICIANS NETWORK INC
- **Other names:** Atrium Health Levine Children's Baxter Village Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518571421
- **Legal business name:** CAROLINAS PHYSICIANS NETWORK INC
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 1154 CAROLINA PL, FORT MILL, SC 29708-7063
- **Practice address phone:** (704) 667-0580
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 03/09/2023