Mecklenburg Medical Group
NPI #1093031882 in Huntersville, North Carolina
Provider Information
- NPI Number
- 1093031882
- Entity Type
- Organization
- Organization Name
- Mecklenburg Medical Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MECKLENBURG MEDICAL GROUP
- Primary Specialty
- Dermatology
- Enumeration Date
- Apr 19, 2010
- Last Updated
- Mar 9, 2023
Practice Location
- Address
- 16455 STATESVILLE RD
- Address 2
- STE 200
- City
- Huntersville
- State
- North Carolina
- ZIP Code
- 28078-7135
- Phone
- (704) 302-8600
Authorized Official
- Name
- SCOTT RISSMILLER
- Title
- ENTERPRISE EVP
- Phone
- (704) 355-8675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Obesity Medicine — Obesity Medicine |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
| Internal Medicine - Gastroenterology — Gastroenterology |
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
| Internal Medicine - Infectious Disease — Infectious Disease |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Internal Medicine - Rheumatology — Rheumatology |
| Internal Medicine - Sleep Medicine — Sleep Medicine |
| Internal Medicine - Medical Oncology — Medical Oncology |
| Dermatology |
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