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Organization
CAROMONT SPECIALTY GROUP LLC
Active
Organization
CAROMONT SPECIALTY GROUP LLC
Active
Other names
Carolina Cardiovascular and Thoracic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
VALINDA L. RUTLEDGE (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7622
Mailing address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7622
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
11/27/2007
Last updated
06/09/2010
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