# CAROLINA MEDICORP ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health OB/GYN Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922537612
- **Authorized official:** GEOFFREY KEITH GARDNER (VP FINANCE)
- **Authorized official phone:** (704) 384-7603

## Contact information

- **Practice address:** 11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277-4821
- **Practice address phone:** (704) 316-4440
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (704) 316-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/07/2017
- **Last updated:** 11/09/2018