Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Development & Behavioral Pediatrics of the Carolinas
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
301 MEDICAL PARK DR, STE 202B, CONCORD, NC 28025-2981
(704) 403-2626
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
03/09/2023
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