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Organization

ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC

Active
Parent organization
ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC
Other names
Pediatric Endocrinology & Diabetes Specialists, Atrium Health Levine Children's Pediatric Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATRIUM HEALTH CHILDRENS SPECIALTY NETWORK INC
Authorized official
SCOTT CLIFTON RISSMILLER MD (PRESIDENT)
(704) 631-0002
Entity
Organization

Contact information

Practice address
1781 TATE BLVD SE, HICKORY, NC 28602-4251
(704) 512-3636
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2080P0205X
Pediatric Endocrinology Physician
Primary
2086S0120X
Pediatric Surgery Physician

Other

Enumeration date
12/04/2024
Last updated
05/05/2026
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