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Contact Information

CAROLINAS PHYSICIANS NETWORK, INC.
1091A 521 RED VENTURES DRIVE
FORT MILL, SC29707
 Phone: 803-547-4602
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CAROLINAS PHYSICIANS NETWORK, INC.

NPI # 1417367640
LBN Legal business name CAROLINAS PHYSICIANS NETWORK, INC.
Authorized official KENNY HEINE - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/28/2014
Last updated 04/28/2014 - About 12 years ago
Identifiers
SC License # 1262
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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