Individual
DR. RICHARD SCOTT EISENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWTHORNE LANE, CHARLOTTE, NC 28204
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31497
NC
208M00000X
Hospitalist Physician
Primary
31497
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
893027A
—
NC
05
—
N31497
—
SC
Enumeration date
06/06/2006
Last updated
10/25/2020
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