Carolinas Physicians Network INC

NPI #1134477466 in Waxhaw, North Carolina

Provider Information

NPI Number: 1134477466
Entity Type: Organization
Organization Name: Carolinas Physicians Network INC
Subpart: Yes (part of a larger organization)
Parent Organization: CAROLINAS PHYSICIANS NETWORK INC
Primary Specialty: Surgery
Enumeration Date: Aug 16, 2012
Last Updated: Dec 4, 2012

Practice Location

Address: 2700 PROVIDENCE RD S
Address 2: SUITE 225
City: Waxhaw
State: North Carolina
ZIP Code: 28173-6313
Phone: (704) 667-6700

Authorized Official

Name: DANIEL L WIENS
Title: ADMINISTRATOR
Phone: (704) 355-0648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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