Mecklenburg Medical Group
NPI #1114242088 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1114242088
- Entity Type
- Organization
- Organization Name
- Mecklenburg Medical Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 2, 2010
- Last Updated
- Apr 2, 2010
Practice Location
- Address
- 1025 MOREHEAD MEDICAL DRIVE
- Address 2
- SUITE 200
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28204-2965
- Phone
- (704) 302-8000
Authorized Official
- Name
- DANIEL L WIENS
- Title
- SENIOR VICE PRESIDENT
- Phone
- (704) 355-0648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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