Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Gaston Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
VALINDA RUTLEDGE (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
3845 S. NEW HOPE RD, GASTONIA, NC 28056-8439
(704) 824-9119
(704) 824-2401
Mailing address
3845 S. NEW HOPE RD, GASTONIA, NC 28056-8439
(704) 824-9119
(704) 824-2401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915261
—
NC
Enumeration date
08/26/2010
Last updated
02/03/2011
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