# 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:** 1295170207
- **Authorized official:** GEOFFREY K GARDNER (VP NMG FINANCE)
- **Authorized official phone:** (704) 384-7605

## Contact information

- **Practice address:** 1122 RANDOLPH ST, THOMASVILLE, NC 27360-5175
- **Practice address phone:** (336) 474-3433
- **Practice address fax:** (336) 474-1052
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (336) 474-3433
- **Mailing address fax:** (336) 474-1052

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 07/15/2015