Healthcare Provider Details

I. General information

NPI: 1043127574
Provider Name (Legal Business Name): ATRIUM HEALTH ENDOSCOPY CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 HARDING PL STE 5200
CHARLOTTE NC
28204-2826
US

IV. Provider business mailing address

1225 HARDING PL STE 5200
CHARLOTTE NC
28204-2826
US

V. Phone/Fax

Practice location:
  • Phone: 704-355-4178
  • Fax: 704-355-4090
Mailing address:
  • Phone: 704-355-4178
  • Fax: 704-355-4090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RODNEY E BALL
Title or Position: TREASURER
Credential:
Phone: 704-403-1451