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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
GEOFFREY K GARDNER (VP OF NMG FINANCE)
(336) 243-3000
Entity
Organization
Contact information
Practice address
1977 COTTON GROVE RD, LEXINGTON, NC 27292-5721
(336) 243-3000
(336) 243-3012
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 243-3000
(336) 243-3012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
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
01/04/2013
Last updated
05/27/2016
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