Organization
CAROLINA HEALTHCARE ASSOCIATES, INC
Active
Parent organization
CAROLINA HEALTHCARE ASSOCIATES, INC
Other names
Carolina Coast Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA HEALTHCARE ASSOCIATES, INC
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
5058 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7048
(910) 791-5426
Mailing address
PO BOX 602514, CHARLOTTE, NC 28260-2514
(910) 791-5426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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