| NPI | 1700111515 |
|---|---|
| Doing Business As | ATRIUM HEALTH NEUROLOGY BALLANTYNE |
| Doing Business As | CAROLINA NEUROLOGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2023-03-09 |