Individual
SONYA GORSKI RISSMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-9330
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9800057
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
9800057
NC
Other
Enumeration date
07/04/2006
Last updated
07/15/2024
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