Organization
PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
Active
Parent organization
PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
Other names
Pediatric Endocrinology & Diabetes Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
4501 CAMERON VALLEY PKWY, STE 200, CHARLOTTE, NC 28211-4297
(704) 512-3636
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
03/09/2023
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