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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Carolina Cancer Specialists
Organization subpart
Yes

Provider details

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

Contact information

Practice address
225 S HERLONG AVE, SUITE 201, ROCK HILL, SC 29732-2168
(803) 329-9088
(803) 329-9075
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(803) 329-9088
(803) 329-9075

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5950534
NC
05
GP4985
SC
Enumeration date
09/04/2008
Last updated
07/05/2013
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