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Organization

CAROLINAS PHYSICIANS NETWORK INC.

Active
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Organization

CAROLINAS PHYSICIANS NETWORK INC.

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC.
Other names
Pediatric Urology Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC.
Authorized official
MR. THOMAS FORD LAYMON (SENIOR VICE PRESIDENT)
(704) 631-0002
Entity
Organization

Contact information

Practice address
704 GOLD HILL RD, SUITE 203, FORT MILL, SC 29715-8906
(704) 381-3510
(704) 540-3668
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 381-3510
(704) 540-3668

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
NULL
2088P0231X
Pediatric Urology Physician
Primary
—
—

Other

Enumeration date
05/03/2011
Last updated
08/16/2016
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