Indian Trail Family Medicine
NPI #1003842782 in Indian Trail, North Carolina
Provider Information
- NPI Number
- 1003842782
- Entity Type
- Organization
- Organization Name
- Indian Trail Family Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 24, 2006
- Last Updated
- Feb 12, 2008
Practice Location
- Address
- 4503 OLD MONROE RD
- City
- Indian Trail
- State
- North Carolina
- ZIP Code
- 28079-5309
- Phone
- (704) 821-6900
Authorized Official
- Name
- DANIEL L WIENS
- Title
- SENIOR VICE PRESIDENT
- Phone
- (704) 355-0648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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