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1629305073
MECKLENBURG MEDICAL GROUP
CHARLOTTE, NC
NPI
1629305073
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Entity Type
Organization
Authorized Contact
DANIEL WIENS
Sr. Vice President
704-355-0648
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
MECKLENBURG MEDICAL GROUP
13640 STEELECROFT PARKWAY SUITE 320
CHARLOTTE, NC 28278-7565
Phone number: 704-302-8900
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Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-512-4808
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