Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Cabarrus Family Medicine - Richfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT - OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
137 HIGHWAY 49 N, RICHFIELD, NC 28137-5738
(704) 463-6521
(704) 463-0400
Mailing address
PO BOX 602120, CHARLOTTE, NC 28260-2120
(704) 463-6521
(704) 463-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907422
—
NC
01
—
7705277
NC MEDICAID DME
NC
Enumeration date
07/24/2009
Last updated
07/29/2011
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