Organization
CAROLINA MEDICORP ENTERPRISES, INC
Active
Other names
Novant Health Urgent Care & Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY KEITH GARDNER (VP FINANCE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
11840 SOUTHMORE DR, SUITE 100, CHARLOTTE, NC 28277-4466
(704) 316-4440
(704) 316-4441
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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