Organization
CAROLINAS PHYSICIANS NETWORK, INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK, INC.
Other names
Carolina Family Medicine & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK, INC.
Authorized official
MR. DANIEL L. WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
478 WILLIAMSON ROAD, STE B, MOORESVILLE, NC 28117-9109
(704) 662-3627
(704) 662-3229
Mailing address
PO BOX 602124, CHARLOTTE, NC 28260-2124
(704) 662-3627
(704) 662-3229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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