OrganizationActive
The Charlotte-Mecklenburg Hospital Authority
NPI 1306273768 · Pediatric Pulmonology Physician · Concord, NC
Provider details
- NPI number
- 1306273768
- Entity type
- Organization
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Charlotte-Mecklenburg Hospital Authority
- Organization subpart
- Yes
- Authorized official
- Scott Rissmiller, Enterprise Evp(704) 355-8675
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Medical Park Dr
Ste 310
Concord, NC 28025-2948
Phone: (704) 403-2660
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Other names (DBA / former)
- Doing business as
- Northeast Pediatric Pulmonology
Registry dates
- Enumerated
- 2013-10-01
- Last updated
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.