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Organization
CAROMONT MEDICAL GROUP INC
Active
Organization
CAROMONT MEDICAL GROUP INC
Active
Other names
Carolina Cardiovascular and Thoracic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE F. SHOVELIN (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2555 COURT DR, SUITE 270, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7672
Mailing address
2555 COURT DR, SUITE 270, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7672
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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