| NPI | 1538975636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CLIFTON RISSMILLER President 704-631-0002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RI0008X Internal Medicine Hepatology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207RT0003X Internal Medicine Transplant Hepatology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-08-28 |