| NPI | 1154646578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RA0201X Internal Medicine Allergy & Immunology | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RS0010X Internal Medicine Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2023-03-09 |