NPI | 1326078072 |
---|---|
Doing Business As | ATRIUM HEALTH LEVINE CHILDREN'S PROVIDENCE PEDIATRICS |
Doing Business As | PROVIDENCE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-07-04 |
Last Update Date | 2023-03-09 |