Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFERY K GARDNER (VP OF FINANCE)
(704) 384-7605
Entity
Organization
Contact information
Practice address
50 W 4TH ST, SUITE 10, WINSTON-SALEM, NC 27101-4089
(336) 718-4705
(336) 718-4702
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-7605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
02/14/2018
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