DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CAROLINAS PHYSICIANS NETWORK INC

MEDICARE: CAROLINAS PHYSICIANS NETWORK INC
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
1207QS0010XSports Medicine (Family Medicine) Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1295966109
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINAS PHYSICIANS NETWORK INC
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 : 8560 COOK ST
Second Line :
City : MOUNT PLEASANT
State : NC
Zip : 28124-7686
Country : US
Telephone Number : 704-436-6521
Fax Number :
Authorized Official
Title or Position : ENTERPRISE EVP
Name : SCOTT RISSMILLER
Credential :
Telephone Number : 704-355-8675
Provider Enumeration Date : 07/28/2009
Last Update Date : 03/09/2023

Similar Medicare Providers

1033107800 — LARA JUNINE PONS MD
Practice Location Address:
8560 COOK ST
MOUNT PLEASANT, NC
28124-7686
Practice Phone: 704-436-6521
Practice Fax:
1457349227 — CHERYL D. SEXTON M.D.
Practice Location Address:
8560 COOK ST
MOUNT PLEASANT, NC
28124-7686
Practice Phone: 704-436-6521
Practice Fax: 704-436-9505
1821086620 — TOMMY KAYE EARNHARDT PA
Practice Location Address:
8560 COOK ST
MOUNT PLEASANT, NC
28124-7686
Practice Phone: 704-436-6521
Practice Fax:
1225025034 — SUSAN RUTH ANDERSEN MD
Practice Location Address:
8560 COOK ST
MOUNT PLEASANT, NC
28124-7686
Practice Phone: 704-436-6521
Practice Fax:
1780672451 — TIFFANY LYNNE BOAN FNP
Practice Location Address:
8560 COOK ST
MOUNT PLEASANT, NC
28124-7686
Practice Phone: 704-436-6521
Practice Fax:
1871754812 — ROBERT AARON LAMBERT MD
Practice Location Address:
8560 COOK ST
MOUNT PLEASANT, NC
28124-7686
Practice Phone: 704-436-6521
Practice Fax:

Directions to “CAROLINAS PHYSICIANS NETWORK INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.