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Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Other names
Diabetes, Endocrine, & Osteoporosis Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L WEINS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
10320 MALLARD CREEK RD, SUITE 260, CHARLOTTE, NC 28262-9756
(704) 549-1992
(704) 549-1322
Mailing address
PO BOX 60469, CHARLOTTE, NC 28260-0469
(704) 549-1992
(704) 549-1322
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017CY
BLUE CROSS - BLUE SHIELD
NC
01
—
4624632
AETNA USH
NC
05
—
5901374
—
NC
Enumeration date
08/05/2006
Last updated
08/22/2020
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