Organization · Type 2 NPI

Carolinas Physicians Network Inc

Pediatric Surgery Physician · Concord, NC

NPI number 1730520396 Active

Practice location

100 Medical Park Dr, Ste 310
Concord, NC 28025-2948

Call (704) 403-2992 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

1001 Blythe Blvd, Charlotte, NC 28203-5866 · (704) 403-2662

Specialties and licenses

Taxonomy	Code	License
Pediatric Surgery Physician Primary	2086S0120X	None listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

110 other providers at this address

Other pediatric surgery physician providers in Concord

Cmc-Northeast, Inc.Pediatric Surgery Physician Concord, NC NPI 1679512677

See all in Concord →

NPI record

NPI: 1730520396
Entity type: Organization (Type 2)
Issued: Jul 11, 2013
Last updated: Jul 5, 2023
Status: Active
Subpart: Yes of Carolinas Physicians Network Inc

Other names

<unavail>
Atrium Health Levine Children's General Surgery · doing business as
Atrium Health Levine Children's Physical, Occupational & Speech Therap · doing business as
Carolinas Healthcare System Pediatric Surgery · 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 1730520396

Carolinas Physicians Network Inc's National Provider Identifier is 1730520396, issued on Jul 11, 2013. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Concord, NC. The record was last updated on Jul 5, 2023.