| Atrium Health Livewell Care | |
|
10620 Park Rd Building 400 Charlotte NC 28210-8472 | |
| (800) 378-3947 | |
| (704) 631-0203 |
| Full Name | Atrium Health Livewell Care |
|---|---|
| Speciality | Family Medicine |
| Location | 10620 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (EVP & CHIEF PHYSICIAN EXECUTIVE) |
| Authorized Official Contact | 7044463507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Livewell Care Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Atrium Health Livewell Care 10620 Park Rd Building 400 Charlotte NC 28210-8472 Ph: (800) 378-3947 |
| NPI Number | 1922347806 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922347806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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