Organization
SCOTLAND REGIONAL HEALTH NETWORK
Active
Parent organization
SCOTLAND REGIONAL HEALTH NETWORK
Other names
Scotland Gastroenterology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTLAND REGIONAL HEALTH NETWORK
Authorized official
DANIEL WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
205 LAUCHWOOD DRIVE, SUITE A, LAURINBURG, NC 28352-4604
(910) 277-4410
(910) 277-4223
Mailing address
PO BOX 602589, CHARLOTTE, NC 28260-2589
(910) 277-4410
(910) 277-4223
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920042
—
NC
05
—
NPB481
—
SC
Enumeration date
03/14/2012
Last updated
03/20/2013
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