# CAROLINAS PHYSICIANS NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS PHYSICIANS NETWORK INC
- **Other names:** Pediatric Urology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447573209
- **Legal business name:** CAROLINAS PHYSICIANS NETWORK INC
- **Authorized official:** DANIEL L WIENS (SENIOR VICE PRESIDENT OPERATIONS)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 1001 BLYTHE BLVD, SUITE 200, CHARLOTTE, NC 28203-5866
- **Practice address phone:** (704) 381-5810
- **Practice address fax:** (704) 540-3668
- **Mailing address:** PO BOX 602148, CHARLOTTE, NC 28260-2148
- **Mailing address phone:** (704) 381-3510
- **Mailing address fax:** (704) 540-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2088P0231X | Pediatric Urology Physician | — | NULL | Yes |
| 2088P0231X | Pediatric Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 01/02/2013