Organization
UNION PHYSICIANS NETWORK INC
Active
Parent organization
UNION PHYSICIANS NETWORK INC
Other names
Union Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION PHYSICIANS NETWORK INC
Authorized official
MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1303 DOVE ST, MONROE, NC 28112-5012
(704) 282-0488
(704) 226-1778
Mailing address
PO BOX 60799, CHARLOTTE, NC 28260-0799
(704) 282-0488
(704) 226-1778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019NE
BCBS
NC
05
—
5908003
—
NC
05
—
8943650
—
NC
05
—
NPB283
—
SC
Enumeration date
10/12/2006
Last updated
08/19/2011
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