# CAROLINA HEALTHCARE ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINA HEALTHCARE ASSOCIATES, INC
- **Other names:** Carolina Coast Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811299589
- **Legal business name:** CAROLINA HEALTHCARE ASSOCIATES, INC
- **Authorized official:** DANIEL L. WIENS (SENIOR VICE PRESIDENT OPERATIONS)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 5058 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7048
- **Practice address phone:** (910) 791-5426
- **Mailing address:** PO BOX 602514, CHARLOTTE, NC 28260-2514
- **Mailing address phone:** (910) 791-5426

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2010
- **Last updated:** 12/01/2010