Charlotte Medical Clinic

LBN: Charlotte Medical Clinic
Charlotte Medical Clinic is an health care organization with primary practice located at 10545 Blair Road Suite 2100, Mint Hill NC 28227-2804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Charlotte Medical Clinic can be contacted via phone (704) 863-9500, or through Wiens, Daniel L. via phone (704) 355-0648.

Contact Information

Primary practice address
10545 Blair Road Suite 2100 Mint Hill NC 28227-2804
Phone: (704) 863-9500
Fax: (704) 863-9501
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L.
Phone: (704) 355-0648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X North Carolina

Profile Details

NPI number 1780913921
LBN Legal business name Charlotte Medical Clinic
DBA Doing business as
Authorized official Wiens, Daniel L.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Oct 24th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780913921 NPPES
North Carolina MEDICAID 5908921

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