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Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Other names
Novant Health Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFERY GARDNER (VP FINANCE)
(336) 564-4341
Entity
Organization
Contact information
Practice address
4012 BATTLEGROUND AVE STE B, 1020, GREENSBORO, NC 27410-8592
(336) 564-4341
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 564-4341
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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