| NPI | 1376970418 |
|---|---|
| Doing Business As | CAROLINA PEDIATRIC GASTROENTEROLOGY - HUNTERSVILLE |
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2023-03-09 |