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Organization
CAROLINAS MEDICAL CENTER
Active
Organization
CAROLINAS MEDICAL CENTER
Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
CHS Reproductive Medicine and Infertility
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
1025 MOREHEAD MEDICAL DR, STE 525, CHARLOTTE, NC 28204-2963
(704) 355-3149
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
—
—
207VE0102X
Reproductive Endocrinology Physician
—
NULL
207VE0102X
Reproductive Endocrinology Physician
—
—
Other
Enumeration date
08/09/2013
Last updated
03/09/2023
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