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Organization
CAROLINAS MEDICAL CENTER
Active
Organization
CAROLINAS MEDICAL CENTER
Active
Parent organization
CAROLINAS MEDICAL CENTER
Other names
Carolinas Back and Sports Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER
Authorized official
MR. THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization
Contact information
Practice address
14214 BALLANTYNE LAKE ROAD, SUITE 150, CHARLOTTE, NC 28277-3373
(704) 512-4400
(704) 512-4401
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 512-4400
(704) 512-4401
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903972
—
NC
05
—
NPB197
—
SC
Enumeration date
03/03/2011
Last updated
08/10/2016
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