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 1831414705

Mecklenburg Medical Group is an Internal Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

10650 Park Road Ext Ste 420
Charlotte, NC 28210-8539
Phone: (704) 302-8700
Fax: (704) 302-8701
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 number1831414705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Wiens — Senior Vice President · (704) 335-0648
NPI enumeratedApril 2, 2010
Last updated in NPPESApril 2, 2010
Mailing addressPo Box 60063, Charlotte, NC 28260-0063

Other providers in Charlotte