Organization
CAROMONT MEDICAL GROUP INC
Active
Organization
CAROMONT MEDICAL GROUP INC
Active
Other names
Adult Primary and Preventive Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L KELLEY (PRESIDENT/CEO)
(704) 671-5343
Entity
Organization
Contact information
Practice address
1040 X RAY DR, SUITE B, GASTONIA, NC 28054-5438
(704) 884-0064
(704) 884-0074
Mailing address
1040 X RAY DR STE B, GASTONIA, NC 28054-7488
(704) 884-0064
(704) 884-0074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
08/05/2019
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