Organization · Type 2 NPI

Carolinas Medical Center

Obstetrics & Gynecology Physician · Concord, NC

NPI number 1467790055 Active

Practice location

200 Medical Park Dr, Ste 250
Concord, NC 28025-2982

Call (704) 403-6350 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

109 other providers at this address

Other obstetrics & gynecology physician providers in Concord

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NPI record

NPI: 1467790055
Entity type: Organization (Type 2)
Issued: Jan 17, 2013
Last updated: Mar 9, 2023
Status: Active
Subpart: Yes of Carolinas Medical Center

Other names

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Atrium Health Women's Care Urogynecology and Pelvic Surgery · doing business as
CMC Women's Center for Pelvic Health Northeast · doing business as

Authorized official

Scott Rissmiller
Enterprise EVP
(704) 355-8675

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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 1467790055

Carolinas Medical Center's National Provider Identifier is 1467790055, issued on Jan 17, 2013. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Concord, NC. The record was last updated on Mar 9, 2023.