Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Carolinas Cancer Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1650 FAULK ST, SUITE A, MONROE, NC 28112-5263
(704) 290-0444
(704) 290-0445
Mailing address
PO BOX 601058, CHARLOTTE, NC 28260-1058
(704) 290-0444
(704) 290-0445
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019UC
BCBSNC
NC
05
—
5908741
—
NC
05
—
NPB260
—
SC
Enumeration date
12/11/2007
Last updated
04/07/2008
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