Organization Name: | CAROLINAS PHYSICIANS NETWORK INC |
NPI Number: | 1235416009 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL WIENS (SENIOR VICE PRESIDENT) |
Mailing Address: | 11304 Hawthorne Dr Suite 115 Mint Hill |
State: | NC US |
Postal Code: | 282279425 |
Phone Number: | 7048631950 |
Fax Number: | 7048631979 |
NPI Enumeration Date: | 11/08/2011 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |