# CAROLINAS PHYSICIANS NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetes, Endocrine, & Osteoporosis Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285643619
- **Authorized official:** DANIEL L WEINS (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 10320 MALLARD CREEK RD, SUITE 260, CHARLOTTE, NC 28262-9756
- **Practice address phone:** (704) 549-1992
- **Practice address fax:** (704) 549-1322
- **Mailing address:** PO BOX 60469, CHARLOTTE, NC 28260-0469
- **Mailing address phone:** (704) 549-1992
- **Mailing address fax:** (704) 549-1322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 017CY | BLUE CROSS - BLUE SHIELD | NC |
| 01 | — | 4624632 | AETNA USH | NC |
| 05 | — | 5901374 | — | NC |
