Organization
CAROLINA MEDICORP ENTERPRISES, INC
Active
Other names
Novant Health Express
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7203
Entity
Organization
Contact information
Practice address
610 JETTON ST, SUITE 214, DAVIDSON, NC 28036-9320
(704) 384-1555
(704) 384-1557
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
08/19/2014
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