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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Atrium Health Allergy, Asthma & Immunology
Organization subpart
Yes

Provider details

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

Contact information

Practice address
4525 CAMERON VALLEY PKWY, STE 2100, CHARLOTTE, NC 28211-4369
(704) 355-5100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician

Other

Enumeration date
11/22/2019
Last updated
03/20/2023
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