Organization
CAROLINAS PHYSICIANS NETWORK, INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Union Endocrinology Associates
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
4503 OLD MONROE RD, SUITE A, INDIAN TRAIL, NC 28079-5309
(704) 684-0003
(704) 684-0041
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 684-0003
(704) 684-0041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922605
—
NC
05
—
NPB652
—
SC
Enumeration date
12/26/2012
Last updated
08/19/2016
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