| Sports Medicine And Injury Care | |
|
101 E W T Harris Blvd Suite 5101 Charlotte NC 28262-3485 | |
| (704) 863-4878 | |
| (704) 863-1511 |
| Full Name | Sports Medicine And Injury Care |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 101 E W T Harris Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Thomas Ford Laymon (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7046310002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine And Injury Care Po Box 602148 Charlotte NC 28260-2148 Ph: (704) 863-4878 | Sports Medicine And Injury Care 101 E W T Harris Blvd Suite 5101 Charlotte NC 28262-3485 Ph: (704) 863-4878 |
| NPI Number | 1346589520 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346589520 | NPI | - | NPPES |
| 5922350 | Other | NC | NC MEDICAID DME |
| NPB616 | Medicaid | SC | |
| 5922350 | Medicaid | NC |
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