Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Neurology with Special Qualifications in Child Neurology Physician · Charlotte, NC

NPI number 1720415946 Active

Practice location

1001 Blythe Blvd, Ste 200
Charlotte, NC 28203-5866

Call (704) 381-8840 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

711 E Morehead St, Charlotte, NC 28202-2739 · (704) 355-6930

Specialties and licenses

Taxonomy	Code	License
Neurology with Special Qualifications in Child Neurology Physician Primary	2084N0402X	None listed

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

439 other providers at this address

Other neurology with special qualifications in child neurology physician providers in Charlotte

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NPI record

NPI: 1720415946
Entity type: Organization (Type 2)
Issued: Oct 2, 2013
Last updated: Mar 9, 2023
Status: Active
Subpart: Yes of The Charlotte-Mecklenburg Hospital Authority

Other names

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Carolinas Pediatric Neurology Care - Charlotte Specialty Center · doing business as
Carolinas Pediatric Neurology Care - Charlotte Specialty Center · doing business as
Carolinas Pediatric Neurology Care - Morehead · 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 1720415946

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1720415946, issued on Oct 2, 2013. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Charlotte, NC. The record was last updated on Mar 9, 2023.