Organization
CAROLINA MEDICORP ENTERPRISES, INC.
Active
Other names
Novant Health Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY KEITH GARDNER (VP FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
9550 ROCKY RIVER RD STE 150, CHARLOTTE, NC 28215-9592
(704) 316-5281
(704) 316-5283
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 316-5281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/21/2018
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