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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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