Organization
CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Other names
CMC Orthopaedic Surgery-Union
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Authorized official
MR. THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization
Contact information
Practice address
2700 PROVIDENCE RD S, SUITE 180, WAXHAW, NC 28173-6313
(704) 863-8750
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 355-5660
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003256926
—
NC
05
—
NPB701
—
SC
Enumeration date
06/25/2013
Last updated
08/11/2016
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