Charlotte Medical Clinic Inc

LBN: Charlotte Medical Clinic Inc
Charlotte Medical Clinic Inc is an health care organization with primary practice located at 2700 Providence Rd S Suite 320, Waxhaw NC 28173-6313. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charlotte Medical Clinic Inc can be contacted via phone (704) 667-6750, or through Laymon, Thomas Ford via phone (704) 631-0002.

Contact Information

Primary practice address
2700 Providence Rd S Suite 320 Waxhaw NC 28173-6313
Phone: (704) 667-6750
Fax: (704) 667-6751
Website:
Map and Directions
Authorized official contact:
Name: Laymon, Thomas Ford
Phone: (704) 631-0002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X North Carolina

Profile Details

NPI number 1457638116
LBN Legal business name Charlotte Medical Clinic Inc
DBA Doing business as
Authorized official Laymon, Thomas Ford
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2011
Last updated Aug 19th, 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 1457638116 NPPES
North Carolina MEDICAID 5919381
North Carolina MEDICAID NPB549

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