| Atrium Health Community Care Primary Care West Blvd Family Medicine | |
|
1350 S Kings Dr Charlotte NC 28207-2134 | |
| (704) 446-1242 | |
| Not Available |
| Full Name | Atrium Health Community Care Primary Care West Blvd Family Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1350 S Kings Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (EVP & CHIEF PHYSICIAN EXECUTIVE) |
| Authorized Official Contact | 7046310002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Community Care Primary Care West Blvd Family Medicine Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Atrium Health Community Care Primary Care West Blvd Family Medicine 1350 S Kings Dr Charlotte NC 28207-2134 Ph: (704) 446-1242 |
| NPI Number | 1073754131 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073754131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 207RS0010X | Internal Medicine - Sports Medicine | () | Secondary |
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