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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Carolinas Cancer Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
MR. THOMAS FORD LAYMON (SENIOR VICE PRESIDENT)
(704) 446-8250
Entity
Organization

Contact information

Practice address
1401 MATTHEWS TOWNSHIP PKWY STE 208, MATTHEWS, NC 28105-5403
(704) 321-1002
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 321-1002
(704) 321-1091

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700196409
NC
05
5916360
NC
Enumeration date
10/15/2010
Last updated
04/26/2018
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