Organization
CAROLINAS MEDICAL GROUP-PSYCHIATRIC AND PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J. THOMAS (GROUP VICE PRESIDENT)
(704) 358-2714
Entity
Organization
Contact information
Practice address
501 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1009
(704) 358-2744
(704) 358-2938
Mailing address
501 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1009
(704) 358-2744
(704) 358-2938
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
H0071
NC
2084P0800X
Psychiatry Physician
Primary
H0071
NC
2084P0804X
Child & Adolescent Psychiatry Physician
H0071
NC
Other
Enumeration date
12/12/2006
Last updated
03/17/2008
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