Mecklenburg Medical Group

LBN: Mecklenburg Medical Group
Mecklenburg Medical Group is an health care organization with primary practice located at 1025 Morehead Medical Drive Suite 200, Charlotte NC 28204-2965. The organization recently has 13 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Mecklenburg Medical Group can be contacted via phone (704) 302-8000, or through Wiens, Daniel L via phone (704) 355-0648.

Contact Information

Primary practice address
1025 Morehead Medical Drive Suite 200 Charlotte NC 28204-2965
Phone: (704) 302-8000
Fax: (704) 302-8001
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L
Phone: (704) 355-0648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1366768152
LBN Legal business name Mecklenburg Medical Group
DBA Doing business as
Authorized official Wiens, Daniel L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2010
Last updated Jun 20th, 2013 - about 11 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 1366768152 NPPES
North Carolina MEDICAID 5903117
North Carolina MEDICAID E08621
North Carolina Other 7705294
North Carolina Other 5165580006

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