MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1366768152
Entity TypeOrganization
Authorized ContactDANIEL L WIENS
Senior Vice President
704-355-0648
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Additional Taxonomies207N00000X Dermatology
207RB0002X Internal Medicine, Bariatric Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207RG0300X Internal Medicine, Geriatric Medicine
207RH0003X Internal Medicine, Hematology & Oncology
207RI0200X Internal Medicine, Infectious Disease
207RP1001X Internal Medicine, Pulmonary Disease
207RR0500X Internal Medicine, Rheumatology
207RS0012X Internal Medicine, Sleep Medicine
207RX0202X Internal Medicine, Medical Oncology
Enumeration Date2010-04-19
Last Update Date2013-06-20
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 601643
CHARLOTTE, NC 28260-1643
Phone number: 704-302-8000