Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Levine Cancer Institute
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
1550 FAULK ST, MONROE, NC 28112-5086
(980) 442-0430
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
03/09/2023
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