Organization
CAROLINAS MEDICAL CENTER
Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
CMC Neurospeciality Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER
Authorized official
DANIEL WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1010 EDGEHILL RD N, SUITE B, CHARLOTTE, NC 28207-1885
(704) 446-1900
(704) 446-1555
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-1900
(704) 446-1555
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
08/16/2012
Last updated
10/09/2012
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