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Organization
CAROMONT MEDICAL GROUP INC
Active
Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Carolina Cardiovascular and Thoracic Surgery Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
VALINDA L. RUTLEDGE (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2555 COURT DR, STE 270, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7672
Mailing address
PO BOX 550970, GASTONIA, NC 28055-0970
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
05/31/2011
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