Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Wesley Chapel Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (ADMINISTRATION)
(704) 355-0648
Entity
Organization
Contact information
Practice address
5955 WEDDINGTON RD, WESLEY CHAPEL, NC 28104-6296
(704) 667-4280
(704) 667-4281
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 667-4280
(704) 667-4281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917907
—
NC
05
—
QPB648
—
SC
Enumeration date
08/17/2012
Last updated
07/24/2013
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