MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1629305073
Entity TypeOrganization
Authorized ContactDANIEL WIENS
Sr. Vice President
704-355-0648
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2009-11-05
Last Update Date2009-11-05
Business Address
MECKLENBURG MEDICAL GROUP
13640 STEELECROFT PARKWAY SUITE 320
CHARLOTTE, NC 28278-7565
Phone number: 704-302-8900
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-512-4808