Organization
CAROLINAS PHYSICIANS NETWORK, INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Carolinas Sleep Services- Poplar Tent
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
TOM FORD LAYMON (SVP)
(704) 446-8250
Entity
Organization
Contact information
Practice address
5641 POPLAR TENT RD, SUITE 204, CONCORD, NC 28027-7533
(704) 510-9900
Mailing address
PO BOX 602699, CHARLOTTE, NC 28260-2699
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629320916
—
NC
05
—
5921897
—
NC
Enumeration date
10/10/2012
Last updated
05/04/2018
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