Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Charles Crumley MD
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
751 S LAUREL ST, LINCOLNTON, NC 28092-3622
(704) 735-3081
(704) 735-1083
Mailing address
PO BOX 601400, CHARLOTTE, NC 28260-1400
(704) 735-3801
(704) 735-1083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891133Y
—
NC
Enumeration date
07/02/2006
Last updated
09/25/2008
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