# EASTOVER UNIVERSITY OBSTETRICS & GYNECOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EASTOVER UNIVERSITY OBSTETRICS & GYNECOLOGY ASSOCIATES
- **Other names:** Atrium Health Women's Care Eastover University OB/GYN, Eastover University Obstetrics and Gynecology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649282930
- **Legal business name:** EASTOVER UNIVERSITY OBSTETRICS & GYNECOLOGY ASSOCIATES
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 101 E W T HARRIS BLVD, STE 5301, CHARLOTTE, NC 28262-3485
- **Practice address phone:** (704) 863-9640
- **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 |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 03/09/2023