Organization
UNION PHYSICIANS NETWORK INC
Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Pageland Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
301 N VAN LINGLE MUNGO BLVD., PAGELAND, SC 29728-0278
(843) 672-6127
(843) 672-5748
Mailing address
PO BOX 601897, CHARLOTTE, NC 28260-0628
(843) 672-6127
(843) 672-5748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3288
—
SC
05
—
GP4568
—
SC
Enumeration date
11/21/2006
Last updated
08/19/2011
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