Organization
CAROLINAS MEDICAL CENTER
Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
Atrium Health Community Care Primary Care West Blvd Family Medicine, CMC Faculty Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER
Authorized official
SCOTT RISSMILLER (EVP & CHIEF PHYSICIAN EXECUTIVE)
(704) 631-0002
Entity
Organization
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1242
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/18/2009
Last updated
02/27/2024
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