# CAROMONT MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROMONT MEDICAL GROUP INC
- **Other names:** Ashley Women's Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679863732
- **Legal business name:** CAROMONT MEDICAL GROUP INC
- **Authorized official:** RANDALL L. KELLEY (PRESIDENT, CEO)
- **Authorized official phone:** (704) 834-2133

## Contact information

- **Practice address:** 1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
- **Practice address phone:** (704) 865-7416
- **Practice address fax:** (704) 865-7232
- **Mailing address:** 1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
- **Mailing address phone:** (704) 865-7416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2011
- **Last updated:** 03/28/2012