Organization
CAROLINAS PHYSICIANS NETWORK INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC.
Other names
Charlotte Cardiology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC.
Authorized official
MR. DANIEL L. WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
309 S SHARON AMITY RD, STE. 200, CHARLOTTE, NC 28211-2978
(704) 944-1135
(704) 944-1155
Mailing address
PO BOX 60309, CHARLOTTE, NC 28260-0309
(704) 944-1135
(704) 944-1155
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019K0
BCBS
NC
05
—
5907958
—
NC
05
—
5907959
—
NC
05
—
5907960
—
NC
05
—
5907961
—
NC
05
—
5907962
—
NC
05
—
5907963
—
NC
05
—
5907964
—
NC
05
—
GP4737
—
SC
05
—
NPB245
—
SC
05
—
NPB246
—
SC
05
—
NPB247
—
SC
05
—
NPB248
—
SC
05
—
QPB818
—
SC
05
—
QPB819
—
SC
Enumeration date
10/13/2006
Last updated
03/11/2008
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