Organization
CAROLINAS PHYSICIANS NETWORK INC
Active
Parent organization
CAROLINAS PHYSICIAN NETWORK, INC
Other names
Personal Health Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIAN NETWORK, INC
Authorized official
TOM LAYMON (SVP)
(704) 446-8250
Entity
Organization
Contact information
Practice address
1341 E MOREHEAD ST STE 102, CHARLOTTE, NC 28204-2936
(704) 355-6963
Mailing address
PO BOX 602478, CHARLOTTE, NC 28260-2478
(704) 355-6963
(704) 355-6960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932118320
—
NC
05
—
2331634D
—
NC
Enumeration date
08/05/2006
Last updated
05/11/2018
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