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11304 Hawthorne Dr Suite 115 Mint Hill NC 28227-9425 | |
(704) 684-0003 | |
(704) 684-0041 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 11304 Hawthorne Dr, Mint Hill, 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 |
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Po Box 601888 Charlotte NC 28260-1888 Ph: (704) 684-0003 | 11304 Hawthorne Dr Suite 115 Mint Hill NC 28227-9425 Ph: (704) 684-0003 |
NPI Number | 1235475054 |
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Provider Enumeration Date | 12/26/2012 |
Last Update Date | 08/19/2016 |
Identifier | Type | State | Issuer |
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1235475054 | NPI | - | NPPES |
5922214 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Trinity Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 Lebanon Rd, Suite A, Mint Hill, NC 28227 Phone: 704-573-7161 Fax: 704-573-3799 | |
Charlotte Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10545 Blair Road, Suite 2100, Mint Hill, NC 28227 Phone: 704-863-9500 Fax: 704-863-9501 |