| NPI | 1538415906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080S0010X Pediatrics Sports Medicine |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2025-10-02 |