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Organization

CAROLINAS PHYSICIANS NETWORK, INC.

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Carolina Neurological Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
MR. THOMAS FORD LAYMON (SENIOR VICE PRESIDENT)
(704) 631-0002
Entity
Organization

Contact information

Practice address
10320 MALLARD CREEK ROAD, SUITE 230, CHARLOTTE, NC 28262-5209
(704) 377-9323
(704) 331-4030
Mailing address
PO BOX 602478, CHARLOTTE, NC 28260-2478
(704) 377-9323
(704) 331-4030

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2084N0600X
Clinical Neurophysiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5913179
NC
05
NPB338
SC
Enumeration date
10/13/2009
Last updated
08/11/2016
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