| |
2700 Providence Rd S Waxhaw NC 28173-6313 | |
(704) 684-0003 | |
(704) 684-0041 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 2700 Providence Rd S, Waxhaw, 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 | 2700 Providence Rd S Waxhaw NC 28173-6313 Ph: (704) 684-0003 |
NPI Number | 1598001315 |
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Provider Enumeration Date | 12/26/2012 |
Last Update Date | 08/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598001315 | NPI | - | NPPES |
NPB647 | Medicaid | SC | |
1598001315 | Medicaid | NC | |
5922604 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-289-2553 | |
Ratliff Integrative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Waxhaw Professional Park Dr Ste D, Waxhaw, NC 28173 Phone: 704-560-5508 | |
Peace Medical Center And Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9605 Gato Del Sol Ct, Waxhaw, NC 28173 Phone: 980-315-3540 | |
Charlotte Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S, Suite 320, Waxhaw, NC 28173 Phone: 704-667-6750 Fax: 704-667-6751 |