MECKLENBURG MEDICAL GROUP

MATTHEWS, NC
NPI1710202163
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
332 SAM NEWELL RD SUITE 2000
MATTHEWS, NC 28105-6566
Phone number: 704-302-8500
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8500