Organization
CAROLINAS PHYSICIANS NETWORK INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC.
Other names
Rutherford Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC.
Authorized official
MR. DANIEL WIENS (SENIOR VICE PRESIDENT OF OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
1178 OLD CAROLEEN ROAD, FOREST CITY, NC 28043-3710
(828) 245-4061
(828) 245-4062
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(828) 245-4061
(828) 245-4062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919056
—
NC
Enumeration date
12/09/2011
Last updated
01/08/2013
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