Organization
CAROLINAS PHYSICIANS NETWORK, INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK, INC.
Other names
Cleveland Plastic and Hand Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK, INC.
Authorized official
DANIEL L WIENS (SVP/OPERATIONS CPN)
(704) 355-0648
Entity
Organization
Contact information
Practice address
823 E KING ST, SUITE B, KINGS MOUNTAIN, NC 28086-3186
(980) 487-2340
(980) 487-2341
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(980) 487-2340
(980) 487-2341
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477995082
—
NC
05
—
NPB563
—
SC
Enumeration date
07/24/2013
Last updated
01/07/2014
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