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Contact Information

CAROLINAS PHYSICIANS NETWORK INC
5651 POPLAR TENT RD
SUITE 200
CONCORD, NC28027-7530
 Phone: 704-863-4878
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CAROLINAS PHYSICIANS NETWORK INC

NPI # 1487091013
LBN Legal business name CAROLINAS PHYSICIANS NETWORK INC
Authorized official DANIEL WIENS - (SVP/OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/22/2013
Last updated 01/10/2014 - About 12 years ago
Identifiers
NC Medicaid 1487091013
NC Other 4843180046 NC MEDICARE DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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