Organization
ORTHOCAROLINA
Active
Other names
University 5001
Organization subpart
No
Provider details
NPI number
Authorized official
TOM E LAYMON (CEO)
(704) 339-1000
Entity
Organization
Contact information
Practice address
101 W.T. HARRIS BLVD, SUITE 5001, CHARLOTTE, NC 28262
(704) 547-7319
(704) 339-1444
Mailing address
1915 RANDOLPH RD, ATTN: CREDENTIALING, CHARLOTTE, NC 28207-1101
(704) 339-1224
(704) 339-1444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
Enumeration date
07/28/2006
Last updated
08/22/2020
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