# CAROLINA MEDICORP ENTERPRISES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Express
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104239953
- **Authorized official:** GEOFFREY K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-7203

## Contact information

- **Practice address:** 610 JETTON ST, SUITE 214, DAVIDSON, NC 28036-9320
- **Practice address phone:** (704) 384-1555
- **Practice address fax:** (704) 384-1557
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2014
- **Last updated:** 08/19/2014