| Mecklenburg Medical Group | |
|
1900 Brunswick Ave Charlotte NC 28207-1822 | |
| (704) 358-4400 | |
| (704) 338-6577 |
| Full Name | Mecklenburg Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 Brunswick Ave, Charlotte, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mecklenburg Medical Group Po Box 60063 Charlotte NC 28260-0063 Ph: (704) 358-4400 | Mecklenburg Medical Group 1900 Brunswick Ave Charlotte NC 28207-1822 Ph: (704) 358-4400 |
| NPI Number | 1144545583 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144545583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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