# CAROMONT MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROMONT MEDICAL GROUP INC
- **Other names:** CaroMont Pediatric Partners
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174200315
- **Legal business name:** CAROMONT MEDICAL GROUP INC
- **Authorized official:** DAVID MICHAEL OCONNOR (CFO)
- **Authorized official phone:** (704) 671-5343

## Contact information

- **Practice address:** 519 NAUTICAL DR, SUITE 100B, CLOVER, SC 29710-8113
- **Practice address phone:** (803) 831-2796
- **Practice address fax:** (803) 831-8614
- **Mailing address:** PO BOX 744786, ATLANTA, GA 30374-4786
- **Mailing address phone:** (704) 834-2450
- **Mailing address fax:** (704) 671-5331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 08/18/2026