Organization · Type 2 NPI

Carolinas Physicians Network Inc

Family Medicine Physician · Indian Trail, NC

NPI number 1134474059 Active

Practice location

4503 Old Monroe Rd
Indian Trail, NC 28079-5309

Call (980) 993-7100 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Sports Medicine (Family Medicine) Physician	207QS0010X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10 other providers at this address

Other family medicine physician providers in Indian Trail

See all in Indian Trail →

NPI record

NPI: 1134474059
Entity type: Organization (Type 2)
Issued: Jul 17, 2012
Last updated: Mar 9, 2023
Status: Active
Subpart: Yes of Carolinas Physicians Network Inc

Other names

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Atrium Health Primary Care Indian Trail Family Medicine · doing business as
Indian Trail Family Medicine · doing business as

Authorized official

Scott Rissmiller
Enterprise EVP
(704) 355-8675

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134474059

Carolinas Physicians Network Inc's National Provider Identifier is 1134474059, issued on Jul 17, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Indian Trail, NC. The record was last updated on Mar 9, 2023.