| Atrium Health Levine Children's Neurology | |
|
100 Medical Park Dr Suite 310 Concord NC 28025-2948 | |
| (704) 403-2660 | |
| Not Available |
| Full Name | Atrium Health Levine Children's Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 100 Medical Park Dr, Concord, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Levine Children's Neurology Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Atrium Health Levine Children's Neurology 100 Medical Park Dr Suite 310 Concord NC 28025-2948 Ph: (704) 403-2660 |
| NPI Number | 1396172516 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396172516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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