Organization
CAROLINAS HEALTH NETWORK, INC.
Active
Other names
McKay Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1416 E MOREHEAD ST, SUITE 101, CHARLOTTE, NC 28204-2926
(704) 355-8686
(704) 355-8687
Mailing address
PO BOX 60628, CHARLOTTE, NC 28260-0628
(704) 355-8686
(704) 355-8687
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890192M
—
NC
Enumeration date
11/21/2006
Last updated
08/22/2020
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