Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mecklenburg Medical Group

Organization Internal Medicine Physician · NPI 1629305073

Mecklenburg Medical Group is an Internal Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

13640 Steelecroft Pkwy Ste 320
Charlotte, NC 28278-7565
Phone: (704) 302-8900
Fax: (704) 302-8901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1629305073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Wiens — Sr. Vice President · (704) 355-0648
NPI enumeratedNovember 5, 2009
Last updated in NPPESNovember 5, 2009
Mailing addressPo Box 60063, Charlotte, NC 28260-0063

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