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Organization

CAROLINAS PHYSICIANS NETWORK, INC.

Active
Parent organization
MEDVANTX, INC.
Other names
Red Ventures- CHS
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization

Contact information

Practice address
1091A 521 RED VENTURES DRIVE, FORT MILL, SC 29707
(803) 547-4602
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
1262
SC

Other

Enumeration date
04/28/2014
Last updated
04/28/2014
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