NPI | 1386960177 |
---|---|
Doing Business As | ATRIUM HEALTH PRIMARY CARE MECKLENBURG MEDICAL GROUP |
Doing Business As | MECKLENBURG MEDICAL GROUP (MMG) |
Entity Type | Organization |
Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207R00000X Internal Medicine |
207RB0002X Internal Medicine, Bariatric Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0100X Internal Medicine, Gastroenterology | |
207RG0300X Internal Medicine, Geriatric Medicine | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207RI0200X Internal Medicine, Infectious Disease | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RR0500X Internal Medicine, Rheumatology | |
207RS0012X Internal Medicine, Sleep Medicine | |
207RX0202X Internal Medicine, Medical Oncology | |
Enumeration Date | 2010-04-19 |
Last Update Date | 2023-03-09 |