Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Pediatric Pulmonology Physician · Charlotte, NC

NPI number 1770910127 Active

Practice location

1001 Blythe Blvd, Ste 200D
Charlotte, NC 28203-5866

Call (704) 403-2660 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Pediatric Pulmonology Physician Primary	2080P0214X	None listed

Pediatric Pulmonology Physician: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

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NPI record

NPI: 1770910127
Entity type: Organization (Type 2)
Issued: Oct 1, 2013
Last updated: Jan 20, 2021
Status: Active
Subpart: Yes of The Charlotte-Mecklenburg Hospital Authority

Other names

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Northeast Pediatric Pulmonology - Charlotte · doing business as

Authorized official

Thomas Laymon
Senior Vice President
(704) 446-8250

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770910127

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1770910127, issued on Oct 1, 2013. The primary taxonomy on file is Pediatric Pulmonology Physician (2080P0214X), and the practice location is in Charlotte, NC. The record was last updated on Jan 20, 2021.