Healthcare Provider Details

I. General information

NPI: 1356258883
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

15110 JOHN J DELANEY DR STE 120
CHARLOTTE NC
28277-3545
US

IV. Provider business mailing address

15110 JOHN J DELANEY DR STE 120
CHARLOTTE NC
28277-3545
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-2140
  • Fax: 704-302-8118
Mailing address:
  • Phone: 704-512-2140
  • Fax: 704-302-8118

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