Sports Medicine And Injury Care

LBN: Carolinas Physician Network, Inc.
Sports Medicine And Injury Care 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:
Map and Directions
Authorized official contact:
Name: Laymon, Thomas Ford
Phone: (704) 631-0002

Health care specialties

SpecialtyCodeLicense #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 Sports Medicine And Injury Care
Authorized official Laymon, Thomas Ford
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2013
Last updated Aug 18th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548509805 NPPES
South Carolina MEDICAID NPB621
South Carolina MEDICAID 5922356

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