Organization
GS CMG LLC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Gastonia Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
MS. VALINDA L RUTLEDGE (PRESIDENT)
(704) 834-2121
Entity
Organization
Contact information
Practice address
2544 COURT DR, GASTONIA, NC 28054-3450
(704) 864-7821
(704) 865-0519
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5307
(704) 834-4615
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914531
—
NC
Enumeration date
03/30/2010
Last updated
02/03/2011
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