Organization · NPI-2

Carolinas Medical Center

Obstetrics & Gynecology · Concord, NC

NPI number1467790055
StatusActive
Last updated in NPPESMar 9, 2023

Details

NPI
1467790055
Entity type
Organization (NPI-2)
Legal business name
Carolinas Medical Center
Organization subpart
Yes
Enumeration date
Jan 17, 2013
Last updated
Mar 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery––

Other names

  • Atrium Health Women'S Care Urogynecology And Pelvic Surgery (Doing Business As)
  • Cmc Women'S Center For Pelvic Health Northeast (Doing Business As)

Practice location

200 Medical Park Dr
Ste 250
Concord, NC 28025-2982

Phone 704-403-6350

Mailing address

Po Box 19305
Charlotte, NC 28219-9305

Phone 704-631-0002

Authorized official

Scott Rissmiller
Enterprise Evp
7043558675

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