Organization
CAROMONT MEDICAL GROUP, INC.
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Pediatric Partners
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
705 SUMMIT CROSSING PL, STE 150, GASTONIA, NC 28054-2216
(704) 671-6300
(704) 671-6307
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139T
BCBS
NC
05
—
6901041
—
NC
Enumeration date
10/31/2007
Last updated
08/09/2022
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