Organization
CHARLOTTE MEDICAL CLINIC INC
Active
Parent organization
CHARLOTTE MEDICAL CLINIC INC
Other names
Charlotte Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE MEDICAL CLINIC INC
Authorized official
THOMAS LAYMON (SENIOR VICE PRESIDENT)
(704) 446-8250
Entity
Organization
Contact information
Practice address
10650 PARK RD, STE 300, CHARLOTTE, NC 28210-8538
(704) 667-3960
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
12/06/2010
Last updated
03/02/2020
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