| Organization Name: | CAROLINAS MEDICAL CENTER |
| NPI Number: | 1699979732 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL L WIENS (SVP/OPERATIONS CPN) |
| Mailing Address: | 1000 Blythe Blvd Charlotte |
| State: | NC US |
| Postal Code: | 282035812 |
| Phone Number: | 7043552000 |
| Fax Number: | 7045127576 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 04/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H0071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |