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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Rutherford Internal Medicine 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) 644-6825
Entity
Organization

Contact information

Practice address
181 DANIEL RD, SUITE 100, FOREST CITY, NC 28043-7151
(828) 286-9036
(828) 286-1581
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(828) 286-9036
(828) 286-1581

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RG0100X
Gastroenterology Physician
207RH0000X
Hematology (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
207RX0202X
Medical Oncology Physician
Primary
2084N0400X
Neurology Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629206651
NC
05
5911380
NC
05
NPB308
SC
Enumeration date
06/29/2009
Last updated
09/27/2018
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