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1114242088
MECKLENBURG MEDICAL GROUP
CHARLOTTE, NC
NPI
1114242088
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Entity Type
Organization
Authorized Contact
DANIEL L WIENS
Senior Vice President
704-355-0648
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-04-02
Last Update Date
2010-04-02
Business Address
MECKLENBURG MEDICAL GROUP
1025 MOREHEAD MEDICAL DRIVE SUITE 200
CHARLOTTE, NC 28204-2965
Phone number: 704-302-8000
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Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8000
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