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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Senior Health Connection
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization

Contact information

Practice address
332 SAM NEWELL RD, SUITE 2000, MATTHEWS, NC 28105-6566
(704) 302-8375
(704) 302-8548
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 302-8375
(704) 302-8548

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
10/13/2010
Last updated
01/07/2013
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