Organization
MEDICAL ASSOCIATES OF ROCK HILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
13640 STEELECROFT PKWY, SUITE 220, CHARLOTTE, NC 28278-7565
(803) 328-0181
(803) 328-0553
Mailing address
PO BOX 601586, CHARLOTTE, NC 28260-1586
(803) 328-0181
(803) 328-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPB359
—
SC
Enumeration date
12/21/2009
Last updated
03/22/2010
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