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Organization

CAROLINAS MEDICAL CENTER

Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
Atrium Health Plastic & Reconstructive Surgery Charlotte, CMC Cosmetic and Plastic Surgery, Atrium Health Levine Children's Cleft, Craniofacial & Plastic Surge
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS MEDICAL CENTER
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization

Contact information

Practice address
1025 MOREHEAD MEDICAL DR, STE 200, CHARLOTTE, NC 28204-2963
(704) 466-6810
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
208600000X
Surgery Physician

Other

Enumeration date
06/13/2007
Last updated
03/09/2023
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