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11304 Hawthorne Dr Ste 100 Mint Hill NC 28227-9425 | |
(704) 545-6400 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 11304 Hawthorne Dr, Mint Hill, 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 |
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Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | 11304 Hawthorne Dr Ste 100 Mint Hill NC 28227-9425 Ph: (704) 545-6400 |
NPI Number | 1164724100 |
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Provider Enumeration Date | 11/24/2010 |
Last Update Date | 03/09/2023 |
Identifier | Type | State | Issuer |
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1164724100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Trinity Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 Lebanon Rd, Suite A, Mint Hill, NC 28227 Phone: 704-573-7161 Fax: 704-573-3799 | |
Charlotte Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10545 Blair Road, Suite 2100, Mint Hill, NC 28227 Phone: 704-863-9500 Fax: 704-863-9501 |