<Unavail>
LBN: Carolinas Physician Network, Inc.
<Unavail> is an health care organization with primary practice located at 332 North Trade Street Suite 1200, Matthews NC 28105-6566. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty.
Carolinas Physician Network, Inc. can be contacted via phone (704) 863-4878, or through Laymon, Thomas Ford via phone (704) 631-0002.
Contact Information
Primary practice address
332 North Trade Street Suite 1200
Matthews NC 28105-6566
Phone: (704) 863-4878
Fax: (704) 512-6891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1548509805 |
|---|---|
| LBN Legal business name | Carolinas Physician Network, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Laymon, Thomas Ford |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 6th, 2013 |
| Last updated | Aug 18th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548509805 | NPPES |
| South Carolina | MEDICAID | NPB621 | |
| South Carolina | MEDICAID | 5922356 |
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