MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1780909101
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
15110 JOHN J DELANEY DRIVE SUITE 200
CHARLOTTE, NC 28277-3545
Phone number: 704-302-8100
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8100
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