# PIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES
- **Other names:** Piedmont Gynecological and Obstetrical Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609101666
- **Legal business name:** PIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 13640 STEELECROFT PKWY, STE 240, CHARLOTTE, NC 28278-7565
- **Practice address phone:** (704) 512-3860
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 01/05/2022