Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Internal Medicine & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
10320 MALLARD CREEK ROAD, SUITE 120, CHARLOTTE, NC 28262-5204
(704) 503-1332
Mailing address
PO BOX 602217, CHARLOTTE, NC 28260-2217
(704) 503-1332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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