# CAROMONT MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROMONT MEDICAL GROUP INC
- **Other names:** Endocrinology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184805103
- **Legal business name:** CAROMONT MEDICAL GROUP INC
- **Authorized official:** DAVID M OCONNOR (CFO)
- **Authorized official phone:** (704) 834-2049

## Contact information

- **Practice address:** 2544 COURT DR STE A, GASTONIA, NC 28054-3450
- **Practice address phone:** (704) 671-6400
- **Practice address fax:** (704) 671-6449
- **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 |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 08/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 015AR | BCBS OF NC | NC |
| 05 | — | 1184805103 | — | NC |
| 05 | — | 89015AR | — | NC |
| 05 | — | NPA699 | — | SC |