# CAROLINAS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS MEDICAL CENTER
- **Other names:** CMC LCI Radiation Therapy Pineville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851712582
- **Legal business name:** CAROLINAS MEDICAL CENTER
- **Authorized official:** PETER W ACKER (PRESIDENT/CMC LINCOLN)
- **Authorized official phone:** (980) 212-1000

## Contact information

- **Practice address:** 10650 PARK RD, CHARLOTTE, NC 28210-8538
- **Practice address phone:** (704) 667-0337
- **Mailing address:** PO BOX 601372, CHARLOTTE, NC 28260-1372
- **Mailing address phone:** (704) 667-0337

## Taxonomy

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

## Other

- **Enumeration date:** 12/24/2013
- **Last updated:** 12/24/2013