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1710202163
MECKLENBURG MEDICAL GROUP
MATTHEWS, NC
NPI
1710202163
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Entity Type
Organization
Authorized Contact
DANIEL L WIENS
Senior Vice President
704-355-0648
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
MECKLENBURG MEDICAL GROUP
332 SAM NEWELL RD SUITE 2000
MATTHEWS, NC 28105-6566
Phone number: 704-302-8500
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Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8500
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