| North Charlotte Medical Specialists | |
|
101 E Wt Harris Blvd Suite 5002 Charlotte NC 28262-3485 | |
| (704) 548-8724 | |
| (704) 548-0927 |
| Full Name | North Charlotte Medical Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 E Wt Harris Blvd, 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 |
|---|---|
| North Charlotte Medical Specialists 5000 Airport Center Pkwy Ste A Charlotte NC 28208-5899 Ph: (704) 512-4116 | North Charlotte Medical Specialists 101 E Wt Harris Blvd Suite 5002 Charlotte NC 28262-3485 Ph: (704) 548-8724 |
| NPI Number | 1205864352 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205864352 | NPI | - | NPPES |
| 89013AG | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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