Organization
COLUMBUS REGIONAL HEALTH NETWORK
Active
Parent organization
COLUMBUS REGIONAL HEALTH NETWORK
Other names
South Columbus Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBUS REGIONAL HEALTH NETWORK
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT/OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
14508 JAMES B WHITE HWY S, TABOR CITY, NC 28463-8358
(910) 653-7000
(910) 653-7004
Mailing address
PO BOX 602530, CHARLOTTE, NC 28260-2530
(910) 653-7000
(910) 635-7004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629318886
—
NC
Enumeration date
02/26/2013
Last updated
10/18/2013
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