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Organization

CAROMONT SPECIALTY GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALINDA L RUTLEDGE (CEO/PRESIDENT)
(704) 834-2133
Entity
Organization

Contact information

Practice address
2555 COURT DR, SUITE 200, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7672
Mailing address
PO BOX 550970, GASTONIA, NC 28055-0970
(704) 671-5311
(704) 671-5308

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Enumeration date
02/10/2006
Last updated
04/08/2010
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