| Mecklenburg Medical Group | |
|
15110 John J Delaney Drive Suite 200 Charlotte NC 28277-3545 | |
| (704) 302-8100 | |
| (704) 302-8101 |
| Full Name | Mecklenburg Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 15110 John J Delaney Drive, 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) 302-8100 | Mecklenburg Medical Group 15110 John J Delaney Drive Suite 200 Charlotte NC 28277-3545 Ph: (704) 302-8100 |
| NPI Number | 1780909101 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780909101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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