Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Atrium Health Levine Children's Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
2550 COURT DR, STE 203, GASTONIA, NC 28054-2152
(704) 403-2660
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
08/14/2023
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