MECKLENBURG MEDICAL GROUP

INDIAN LAND, SC
NPI1396061347
Doing Business AsATRIUM HEALTH PRIMARY CARE CAROLINA LAKES INTERNAL MEDICINE
Doing Business AsMECKLENBURG MEDICAL GROUP (MMG)
Entity TypeOrganization
Authorized ContactSCOTT RISSMILLER
Enterprise EVP
704-355-8675
Organization Subpart ?Yes
Primary Taxonomy207N00000X Dermatology
Additional Taxonomies207R00000X 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 Date2010-04-15
Last Update Date2023-03-09
Business Address
MECKLENBURG MEDICAL GROUP
7666 CHARLOTTE HWY STE 200
INDIAN LAND, SC 29707-7000
Phone number: 803-431-8225
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: 704-631-0002