Organization
CAROLINAS PHYSICIAN NETWORK, INC.
Active
Other names
Carolinas On Site Care Employer Based Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RISSMILLER MD (PRESIDENT)
(704) 631-0002
Entity
Organization
Contact information
Practice address
915 PEARL PARK WAY, CHARLOTTE, NC 28204
(704) 468-0480
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
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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