Organization
CAROLINAS MEDICAL CENTER
Active
Other names
Levine Children's Specialty Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization
Contact information
Practice address
4501 CAMERON VALLEY PKWY, SUITE 300, CHARLOTTE, NC 28211-4297
(704) 381-1410
(704) 381-1434
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 381-1410
(704) 381-1434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903972
—
NC
05
—
NPB197
—
SC
Enumeration date
07/12/2012
Last updated
08/11/2016
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