MECKLENBURG MEDICAL GROUP

CHARLOTTE, NC
NPI1831414705
Entity TypeOrganization
Authorized ContactDANIEL L WIENS
Senior Vice President
704-335-0648
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2010-04-02
Last Update Date2010-04-02
Business Address
MECKLENBURG MEDICAL GROUP
10650 PARK ROAD EXTENSION SUITE 420
CHARLOTTE, NC 28210-8539
Phone number: 704-302-8700
Mailing Address
MECKLENBURG MEDICAL GROUP
PO BOX 60063
CHARLOTTE, NC 28260-0063
Phone number: 704-302-8700
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