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Organization
CAROMONT MEDICAL GROUP INC
Active
Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Ashley Women's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
RANDALL L. KELLEY (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 865-7416
(704) 865-7232
Mailing address
1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 865-7416
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
03/28/2012
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