Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Family Medicine Physician · Concord, NC

NPI number 1366879934 Active

Practice location

10030 Edison Square Dr NW, Ste 100
Concord, NC 28027-8308

Call (704) 403-7830 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

4135 Southstream Blvd, Charlotte, NC 28217-4523 · (704) 631-1200

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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.

14 other providers at this address

Other family medicine physician providers in Concord

See all in Concord →

NPI record

NPI: 1366879934
Entity type: Organization (Type 2)
Issued: Sep 27, 2013
Last updated: Mar 9, 2023
Status: Active
Subpart: Yes of The Charlotte-Mecklenburg Hospital Authority

Other names

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Atrium Health Employer Solutions Care · doing business as
Atrium Health Primary Care Edison Square Family Medicine · doing business as
Edison Square 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 1366879934

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1366879934, issued on Sep 27, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Concord, NC. The record was last updated on Mar 9, 2023.