Organization
SHILAND FAMILY MEDICINE
Active
Parent organization
SHILAND FAMILY MEDICINE
Other names
Shiland Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHILAND FAMILY MEDICINE
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
704 GOLD HILL RD, STE 107, FORT MILL, SC 29715-8906
(803) 835-0420
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/05/2022
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