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Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GRIER (VP OPERATIONS)
(336) 472-1191
Entity
Organization
Contact information
Practice address
2000 FRONTIS PLAZA BLVD STE 200, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Mailing address
2000 FRONTIS PLAZA BLVD STE 102, WINSTON SALEM, NC 27103-5616
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/28/2006
Last updated
08/14/2008
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