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Organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Carolina Pediatric Gastroenterology - Huntersville
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization

Contact information

Practice address
9625 NORTHCROSS CENTER CT, STE 102G, HUNTERSVILLE, NC 28078-7348
(704) 403-2660
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2080P0206X
Pediatric Gastroenterology Physician

Other

Enumeration date
10/03/2013
Last updated
03/09/2023
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