MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1821314618
Entity TypeOrganization
Authorized ContactDANIEL L WIENS
Senior Vice President Operations
704-355-0648
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2010-04-19
Last Update Date2010-04-19
Business Address
MECKLENBURG MEDICAL GROUP
200 SOUTH COLLEGE STREET SUITE 500
CHARLOTTE, NC 28202-2067
Phone number: 704-302-8800
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8800
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