Organization
CAROLINAS PHYSICIANS NETWORK, INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
McKay Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT, OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1023 EDGEHILL RD S, CHARLOTTE, NC 28207-1829
(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
—
5904752
—
NC
05
—
NBP184
—
SC
05
—
NPB184
—
SC
Enumeration date
07/08/2006
Last updated
04/13/2009
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