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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Union Surgical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (ADMINISTRATOR)
(704) 355-0648
Entity
Organization

Contact information

Practice address
2700 PROVIDENCE RD S, SUITE 225, WAXHAW, NC 28173-6313
(704) 667-6700
(704) 667-6701
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 667-6700
(704) 667-6701

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5919558
NC
05
NPB468
SC
Enumeration date
08/16/2012
Last updated
12/04/2012
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