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Organization

MECKLENBURG MEDICAL GROUP

Active
Parent organization
MECKLENBURG MEDICAL GROUP
Other names
Atrium Health Primary Care Mecklenburg Medical Group, Mecklenburg Medical Group (MMG)
Organization subpart
Yes

Provider details

NPI number
Legal business name
MECKLENBURG MEDICAL GROUP
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization

Contact information

Practice address
15110 JOHN J DELANEY DR, STE 200, CHARLOTTE, NC 28277-3544
(704) 302-8100
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
207RB0002X
Obesity Medicine (Internal Medicine) Physician
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RH0003X
Hematology & Oncology Physician
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207RX0202X
Medical Oncology Physician

Other

Enumeration date
04/07/2010
Last updated
03/09/2023
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