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Organization

UNIVERSITY PEDIATRICS

Active
Parent organization
UNIVERSITY PEDIATRICS
Other names
University Pediatrics, Atrium Health Levine Children's University Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY PEDIATRICS
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization

Contact information

Practice address
101 E W T HARRIS BLVD, STE 1121, CHARLOTTE, NC 28262-3485
(704) 717-2000
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/29/2006
Last updated
03/09/2023
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