Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Other names
Novant Health Pediatric Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K GARDNER (VP FINANCE)
(704) 384-7976
Entity
Organization
Contact information
Practice address
11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277-4821
(704) 316-4440
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-7976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
09/17/2018
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