Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Atrium Health Levine Children's Indian Trail Pediatrics, Indian Trail Pediatrics, Atrium Health Levine Children's Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
6030 W HIGHWAY 74, STE F, INDIAN TRAIL, NC 28079-3468
(980) 993-7400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
Other
Enumeration date
07/19/2012
Last updated
10/01/2025
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