Carolinas Physicians Network, INC.
Urology, Pediatric Urology in Concord, NC. Organization (NPI-2).
NPI number1114240652
StatusActive
Last updated in NPPESAug 16, 2016
Details
- NPI
- 1114240652
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolinas Physicians Network, INC.
- Organization subpart
- Yes
- Enumeration date
- Mar 11, 2010
- Last updated
- Aug 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2088P0231X | Urology, Pediatric Urology | – | – | Yes |
Other names
- Pediatric Urology Associates (Doing Business As)
Practice location
100 Medical Park DriveSuite 310
Concord, NC 28025-2966
Phone 704-381-3510 · Fax 704-540-3668
Mailing address
Po Box 602148Charlotte, NC 28260-2148
Phone 704-355-3510 · Fax 704-540-3668
Authorized official
Thomas Ford Laymon
Senior Vice President
7046310002
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