Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1759 | NC |
NPI | 1689724288 |
---|---|
Provider Name | Dr. Cindy E Wiener |
First Address | Charlotte, NC 28211-2349 |
Second Address | Charlotte, NC 28211-2349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |