# CAROLINAS PHYSICIANS NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS PHYSICIANS NETWORK INC
- **Other names:** Carolinas Healthcare On-site
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366866642
- **Legal business name:** CAROLINAS PHYSICIANS NETWORK INC
- **Authorized official:** DANIEL L WIENS (SVP/OPERATIONS CPN)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 101 E W T HARRIS BLVD, SUITE 4104, CHARLOTTE, NC 28262-3485
- **Practice address phone:** (704) 863-3300
- **Practice address fax:** (704) 512-3980
- **Mailing address:** PO BOX 601643, CHARLOTTE, NC 28260-1643
- **Mailing address phone:** (704) 863-3300
- **Mailing address fax:** (704) 512-3980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2014
- **Last updated:** 02/07/2014