# CAROLINAS PHYSICIANS NETWORK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS PHYSICIANS NETWORK, INC.
- **Other names:** Cleveland Plastic and Hand Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477995082
- **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:** 823 E KING ST, SUITE B, KINGS MOUNTAIN, NC 28086-3186
- **Practice address phone:** (980) 487-2340
- **Practice address fax:** (980) 487-2341
- **Mailing address:** PO BOX 601884, CHARLOTTE, NC 28260-1884
- **Mailing address phone:** (980) 487-2340
- **Mailing address fax:** (980) 487-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2013
- **Last updated:** 01/07/2014