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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
Eastover Obstetrics and Gynecology, Atrium Health Women's Care Eastover OB/GYN
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
6030 W HIGHWAY 74, STE B, INDIAN TRAIL, NC 28079-3468
(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
—
—
Other
Enumeration date
11/24/2009
Last updated
03/09/2023
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