Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Rock Hill Pediatric Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
9332 S TRYON ST, CHARLOTTE, NC 28273-3108
(803) 328-6281
(803) 981-5136
Mailing address
PO BOX 60143, CHARLOTTE, NC 28260-0143
(803) 328-6281
(803) 981-5136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPB362
—
SC
Enumeration date
12/22/2009
Last updated
03/05/2010
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