# THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** Atrium Health Women's Care Northeast OB/GYN, NorthEast Women's Health & Obstetrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730516196
- **Legal business name:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 1054 BURRAGE RD NE, CONCORD, NC 28025-2910
- **Practice address phone:** (704) 403-7800
- **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 |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/01/2013
- **Last updated:** 03/09/2023
