Organization
CAROLINAS PHYSICIANS NETWORK, INC.
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK, INC.
Other names
Stanly Surgical Weight Loss Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK, INC.
Authorized official
MR. THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization
Contact information
Practice address
923 N 2ND ST, SUITE 205, ALBEMARLE, NC 28001-3317
(704) 982-0648
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 982-0648
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902200769
—
NC
Enumeration date
10/22/2014
Last updated
08/19/2016
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