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1780909101
MECKLENBURG MEDICAL GROUP
CHARLOTTE, NC
NPI
1780909101
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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
15110 JOHN J DELANEY DRIVE SUITE 200
CHARLOTTE, NC 28277-3545
Phone number: 704-302-8100
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Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8100
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