Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK INC
Other names
Pediatric Urology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK INC
Authorized official
MR. THOMAS FORD LAYMON (SENIOR VICE PRESIDENT)
(704) 631-0002
Entity
Organization
Contact information
Practice address
101 E W T HARRIS BLVD, SUITE 3301, CHARLOTTE, NC 28262-3485
(704) 381-3510
(704) 540-3668
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 381-3510
(704) 540-3668
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906251
—
NC
05
—
NPB228
—
SC
Enumeration date
03/12/2010
Last updated
02/11/2019
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