| Organization Name: | CAROLINAS PHYSICIANS NETWORK, INC. |
| NPI Number: | 1578967485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL LESLIE WIENS (SVP/OPERATIONS CPN) |
| Mailing Address: | 202 N Main St Mount Gilead |
| State: | NC US |
| Postal Code: | 273069250 |
| Phone Number: | 9104391573 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2014 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |