MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1114242088
Entity TypeOrganization
Authorized ContactDANIEL L WIENS
Senior Vice President
704-355-0648
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2010-04-02
Last Update Date2010-04-02
Business Address
MECKLENBURG MEDICAL GROUP
1025 MOREHEAD MEDICAL DRIVE SUITE 200
CHARLOTTE, NC 28204-2965
Phone number: 704-302-8000
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8000