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Organization
CAROMONT MEDICAL GROUP INC
Active
Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
DAVID MICHAEL OCONNOR (CFO)
(704) 671-5343
Entity
Organization
Contact information
Practice address
519 NAUTICAL DR STE 100A, CLOVER, SC 29710-8113
(803) 631-2858
(803) 631-2862
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(803) 631-2862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568641165
—
NC
05
—
890267Q
—
NC
05
—
NPA699
—
SC
Enumeration date
10/31/2007
Last updated
08/18/2026
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