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Organization
CAROMONT MEDICAL GROUP INC
Active
Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Endocrinology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
DAVID M OCONNOR (CFO)
(704) 834-2049
Entity
Organization
Contact information
Practice address
2544 COURT DR STE A, GASTONIA, NC 28054-3450
(704) 671-6400
(704) 671-6449
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015AR
BCBS OF NC
NC
05
—
1184805103
—
NC
05
—
89015AR
—
NC
05
—
NPA699
—
SC
Enumeration date
11/19/2007
Last updated
08/18/2026
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