Organization
CABARRUS PEDIATRIC PRACTICE, INC
Active
Other names
Cabarrus Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS F LAYMON (SR VICE PRESIDENT)
(704) 403-2276
Entity
Organization
Contact information
Practice address
66 LAKE CONCORD RD NE, CONCORD, NC 28025-3057
(704) 403-7720
(704) 403-7730
Mailing address
66 LAKE CONCORD RD NE, CONCORD, NC 28025-3057
(704) 403-7720
(704) 403-7730
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205U
BCBS GROUP ID
NC
01
—
270376
MAMSI GROUP ID
NC
05
—
890205U
—
NC
Enumeration date
04/05/2006
Last updated
01/26/2016
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