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NPI Code Detail

MEDICARE: CARMEL FAMILY PHYSICIANS

MEDICARE: CARMEL FAMILY PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1164453726
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARMEL FAMILY PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number : 704-631-0002
Fax Number :
Provider Business Practice Location Address
First Line : 10000 PARK CEDAR DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8902
Country : US
Telephone Number : 704-667-3600
Fax Number :
Authorized Official
Title or Position : ENTERPRISE EVP
Name : SCOTT RISSMILLER
Credential :
Telephone Number : 704-355-8675
Provider Enumeration Date : 07/05/2006
Last Update Date : 03/09/2023

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Directions to “CARMEL FAMILY PHYSICIANS ” Practice Location

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