Organization
CAROLINAS PHYSICIANS NETWORK, INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK, INC.
Other names
Cherryville Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK, INC.
Authorized official
MR. THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization
Contact information
Practice address
112 OAK ST, CHERRYVILLE, NC 28021-3423
(980) 487-2200
(704) 435-3295
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(980) 487-2200
(704) 435-3295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689016610
—
NC
05
—
89011UC
—
NC
Enumeration date
07/18/2013
Last updated
08/10/2016
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