# THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** NorthEast Rheumatology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063849487
- **Legal business name:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** THOMAS LAYMON (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (704) 446-8250

## Contact information

- **Practice address:** 200 MEDICAL PARK DR, STE 330, CONCORD, NC 28025-2982
- **Practice address phone:** (704) 403-1308
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 05/06/2021