Organization
MECKLENBURG MEDICAL GROUP
Active
Parent organization
MECKLENBURG MEDICAL GROUP
Other names
Mecklenburg Medical Group (MMG)
Organization subpart
Yes
Provider details
NPI number
Legal business name
MECKLENBURG MEDICAL GROUP
Authorized official
THOMAS LAYMON (SENIOR VICE PRESIDENT)
(704) 446-8250
Entity
Organization
Contact information
Practice address
3030 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211-1368
(704) 302-8200
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
04/15/2010
Last updated
08/31/2020
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