| NPI | 1295766079 |
|---|---|
| Doing Business As | ATRIUM HEALTH LEVINE CHILDREN'S SOUTH LAKE PEDIATRICS |
| Doing Business As | SOUTH LAKE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-03-09 |