Organization
CABARRUS PEDIATRIC PRACTICE, INC.
Active
Parent organization
CABARRUS PEDIATRIC PRACTICE, INC.
Other names
Cabarrus Pediatrics - Kannapolis
Organization subpart
Yes
Provider details
NPI number
Legal business name
CABARRUS PEDIATRIC PRACTICE, INC.
Authorized official
THOMAS F LAYMON (SR VICE PRESIDENT)
(704) 403-2276
Entity
Organization
Contact information
Practice address
201 DALE EARNHARDT BLVD, SUITE 201, KANNAPOLIS, NC 28081-0303
(704) 403-7735
(704) 932-0270
Mailing address
201 DALE EARNHARDT BLVD, SUITE 201, KANNAPOLIS, NC 28081-0303
(704) 403-7735
(704) 932-0270
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205U
BCBS NC
NC
01
—
5950224
CAROLINA ACCESS
NC
05
—
5950224
—
NC
Enumeration date
04/25/2008
Last updated
01/26/2016
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