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Organization

NORTH CHARLOTTE MEDICAL SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization

Contact information

Practice address
101 E WT HARRIS BLVD, SUITE 5002, CHARLOTTE, NC 28262-3485
(704) 548-8724
(704) 548-0927
Mailing address
5000 AIRPORT CENTER PKWY STE A, CHARLOTTE, NC 28208-5899
(704) 512-4116
(704) 548-0927

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89013AG
NC
Enumeration date
06/29/2006
Last updated
08/22/2020
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