Organization
UNIVERSITY PEDIATRICS
Active
Parent organization
UNIVERSITY PEDIATRICS
Other names
Atrium Health Levine Children's University Pediatrics, University Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PEDIATRICS
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
5727 PROSPERITY CROSSING DR, STE 1500, CHARLOTTE, NC 28269-2206
(704) 863-9910
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
03/09/2023
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