Organization
CAROLINA HEALTHCARE ASSOCIATES INC
Active
Other names
Hanover Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L WIENS (ADMINISTRATOR)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1415 MEDICAL CENTER DR, WILMINGTON, NC 28401-7504
(910) 763-5182
(910) 763-5182
Mailing address
PO BOX 602701, CHARLOTTE, NC 28260-2701
(910) 763-5182
(910) 763-5182
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
08/17/2012
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