# CAROLINA MEDICORP ENTERPRISES INC

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

## Provider details

- **NPI number:** 1164815262
- **Authorized official:** MR. GEOFFREY K GARDNER (VP FINANCE)
- **Authorized official phone:** (704) 384-7603

## Contact information

- **Practice address:** 480 FLETCHER DR, SUITE 3, WARRENTON, VA 20186-2185
- **Practice address phone:** (704) 384-7603
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (704) 384-7840

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2015
- **Last updated:** 08/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1164815262 | — | VA |