Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Womens Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
DAVID MICHAEL OCONNOR (CFO)
(704) 671-5343
Entity
Organization
Contact information
Practice address
620 SUMMIT CROSSING PLACE, SUITE 108A, GASTONIA, NC 28054-2189
(704) 865-2229
(704) 865-2811
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024W6
BCBS OF NC
NC
05
—
1144510207
—
NC
Enumeration date
04/11/2011
Last updated
08/15/2024
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