| Diabetes, Endocrine, & Osteoporosis Specialists | |
|
10320 Mallard Creek Rd Suite 260 Charlotte NC 28262-9756 | |
| (704) 549-1992 | |
| (704) 549-1322 |
| Full Name | Diabetes, Endocrine, & Osteoporosis Specialists |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 10320 Mallard Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Daniel L Weins (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes, Endocrine, & Osteoporosis Specialists Po Box 60469 Charlotte NC 28260-0469 Ph: (704) 549-1992 | Diabetes, Endocrine, & Osteoporosis Specialists 10320 Mallard Creek Rd Suite 260 Charlotte NC 28262-9756 Ph: (704) 549-1992 |
| NPI Number | 1285643619 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285643619 | NPI | - | NPPES |
| 5901374 | Medicaid | NC | |
| 017CY | Other | NC | BLUE CROSS - BLUE SHIELD |
| 4624632 | Other | NC | AETNA USH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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