| Carolinas Physician Network, Inc. | |
|
332 North Trade Street Suite 1200 Matthews NC 28105-6566 | |
| (704) 863-4878 | |
| (704) 512-6891 |
| Full Name | Carolinas Physician Network, Inc. |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 332 North Trade Street, Matthews, North Carolina |
| Authorized Official Name and Position | Thomas Ford Laymon (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7046310002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Physician Network, Inc. Po Box 602148 Charlotte NC 28260-2148 Ph: (704) 863-4878 | Carolinas Physician Network, Inc. 332 North Trade Street Suite 1200 Matthews NC 28105-6566 Ph: (704) 863-4878 |
| NPI Number | 1548509805 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548509805 | NPI | - | NPPES |
| NPB621 | Medicaid | SC | |
| 5922356 | Medicaid | NC |
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