Organization
CAROLINAS MEDICAL CENTER
Active
Other names
Carolinas Psychiatry and Behavioral Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, SUITE 110, CHARLOTTE, NC 28277-3174
(704) 446-8031
(704) 446-8038
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-8031
(704) 446-8038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922484
—
NC
Enumeration date
07/19/2012
Last updated
08/11/2016
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