| Carolinas Pediatric Neurology Care - Eastover | |
|
2608 E 7th St Charlotte NC 28204-4375 | |
| (704) 403-2660 | |
| Not Available |
| Full Name | Carolinas Pediatric Neurology Care - Eastover |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 2608 E 7th St, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Pediatric Neurology Care - Eastover Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Carolinas Pediatric Neurology Care - Eastover 2608 E 7th St Charlotte NC 28204-4375 Ph: (704) 403-2660 |
| NPI Number | 1780011825 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780011825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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