Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Maiden Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
510 ISLAND FORD RD, MAIDEN, NC 28650-8741
(828) 428-0490
(828) 428-0906
Mailing address
PO BOX 602069, CHARLOTTE, NC 28260-2069
(828) 428-0490
(828) 428-0906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950214
—
NC
Enumeration date
06/09/2008
Last updated
10/21/2008
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