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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Senior Health Connection
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
MR. DANIEL WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization

Contact information

Practice address
4525 CAMERON VALLEY PARKWAY, SUITE 300, CHARLOTTE, NC 28211-4369
(704) 302-8375
(704) 302-9308
Mailing address
PO BOX 60833, CHARLOTTE, NC 28260-0833
(704) 302-8375

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/20/2010
Last updated
01/25/2011
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