Mecklenburg Medical Group

LBN: Mecklenburg Medical Group
Mecklenburg Medical Group is an health care organization with primary practice located at 1550 Faulk St Suite 1500, Monroe NC 28112-5086. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Mecklenburg Medical Group can be contacted via phone (704) 302-9700, or through Laymon, Thomas Ford via phone (704) 631-0002.

Contact Information

Primary practice address
1550 Faulk St Suite 1500 Monroe NC 28112-5086
Phone: (704) 302-9700
Fax: (704) 302-9701
Website:
Map and Directions
Authorized official contact:
Name: Laymon, Thomas Ford
Phone: (704) 631-0002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X North Carolina

Profile Details

NPI number 1306175476
LBN Legal business name Mecklenburg Medical Group
DBA Doing business as
Authorized official Laymon, Thomas Ford
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2009
Last updated Aug 12th, 2016 - about 8 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 1306175476 NPPES
South Carolina MEDICAID NPB352
South Carolina MEDICAID 5914037
South Carolina Other 7705296

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