# CAROLINA MEDICORP ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548274327
- **Authorized official:** MICHELE GRIER (VP OPERATIONS)
- **Authorized official phone:** (336) 472-1191

## Contact information

- **Practice address:** 2000 FRONTIS PLAZA BLVD STE 200, WINSTON SALEM, NC 27103-5616
- **Practice address phone:** (336) 277-2435
- **Practice address fax:** (336) 277-9275
- **Mailing address:** 2000 FRONTIS PLAZA BLVD STE 102, WINSTON SALEM, NC 27103-5616
- **Mailing address phone:** (336) 718-4820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | Yes |
| 207P00000X | Emergency Medicine Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/14/2008