Organization
CHARLOTTE MEDICAL CLINIC INC
Active
Parent organization
CHARLOTTE MEDICAL CLINIC INC
Other names
Charlotte Medical Clinic, Atrium Health Primary Care Charlotte Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE MEDICAL CLINIC INC
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
4525 CAMERON VALLEY PKWY, 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
207N00000X
Dermatology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
03/29/2010
Last updated
03/09/2023
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