NPI | 1902200991 |
---|---|
Doing Business As | ATRIUM HEALTH LEVINE CHILDREN'S STANLY PEDIATRICS |
Doing Business As | STANLY PEDIATRIC SERVICES |
Entity Type | Organization |
Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
Enumeration Date | 2014-10-20 |
Last Update Date | 2023-03-09 |