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Contact Information

CAROLINAS PHYSICIAN NETWORK, INC.
101 E W T HARRIS BLVD
SUITE 5101
CHARLOTTE, NC28262-3485
 Phone: 704-863-4878
 Fax: 704-863-1511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CAROLINAS PHYSICIAN NETWORK, INC.

NPI Number 1346589520
LBN Legal business name CAROLINAS PHYSICIAN NETWORK, INC.
Authorized official THOMAS LAYMON - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/07/2013
Last updated 08/18/2016 - About 10 years ago
Identifiers
NC Medicaid 5922350
SC Medicaid NPB616
NC Other 5922350 NC MEDICAID DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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