MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1144545583
Entity TypeOrganization
Authorized ContactDANIEL L WIENS
Senior Vice President
704-355-0648
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2010-03-29
Last Update Date2010-03-29
Business Address
MECKLENBURG MEDICAL GROUP
1900 BRUNSWICK AVE
CHARLOTTE, NC 28207-1822
Phone number: 704-358-4400
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-358-4400