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Organization

CAROLINAS MEDICAL CENTER

Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
Pediatric Hematology Oncology
Organization subpart
Yes

Provider details

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

Contact information

Practice address
100 MEDICAL PARK DR, STE 310, CONCORD, NC 28025-2948
(704) 403-2660
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
12/03/2012
Last updated
03/09/2023
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