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Organization

CAROMONT MEDICAL GROUP INC

Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Gastroenterology and Hepatology
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
DAVID MICHAEL OCONNOR (CFO)
(704) 834-2049
Entity
Organization

Contact information

Practice address
2544 COURT DR, STE G, GASTONIA, NC 28054-3450
(704) 854-9990
(704) 854-9045
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
207RI0008X
Hepatology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019M6
BCBS
NC
05
5907593
NC
Enumeration date
11/13/2007
Last updated
08/09/2022
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