# CAROLINAS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS MEDICAL CENTER
- **Other names:** CMC Faculty Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396986451
- **Legal business name:** CAROLINAS MEDICAL CENTER
- **Authorized official:** THOMAS LAYMON (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (704) 446-8250

## Contact information

- **Practice address:** 2001 VAIL AVE, STE 400, CHARLOTTE, NC 28207-1248
- **Practice address phone:** (704) 304-7000
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 05/06/2021