Organization
CAROLINAS MEDICAL CENTER
Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
CMC Women's Center for Pelvic Health Northeast, Atrium Health Women's Care Urogynecology and Pelvic Surgery
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
200 MEDICAL PARK DR, STE 250, CONCORD, NC 28025-2982
(704) 403-6350
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
Other
Enumeration date
01/17/2013
Last updated
03/09/2023
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