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Organization

CAROLINAS MEDICAL CENTER

Active
Other names
Carolinas Psychiatry and Behavioral Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization

Contact information

Practice address
7825 BALLANTYNE COMMONS PKWY, SUITE A, CHARLOTTE, NC 28277-3174
(704) 446-8031
(704) 446-8038
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-8031
(704) 446-8038

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6008865
NC
Enumeration date
08/02/2012
Last updated
08/11/2016
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