NPI | 1245585009 |
---|---|
Doing Business As | ATRIUM HEALTH PRIMARY CARE WAXHAW FAMILY MEDICINE |
Doing Business As | MEDICAL GROUP OF WAXHAW |
Entity Type | Organization |
Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2012-07-18 |
Last Update Date | 2023-03-09 |