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Organization

CAROLINAS PHYSICIANS NETWORK INC

Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
ProActive Health by Carolinas HealthCare System
Organization subpart
Yes

Provider details

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

Contact information

Practice address
8840 BLAKENEY PROFESSIONAL DR, STE 100, CHARLOTTE, NC 28277-6718
(704) 667-2340
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RS0010X
Sports Medicine (Internal Medicine) Physician

Other

Enumeration date
03/01/2017
Last updated
12/06/2019
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