Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Dallas Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
CRAIG A. DUNKER (VP PRACTICE MANAGEMENT)
(704) 834-2135
Entity
Organization
Contact information
Practice address
701 W TRADE ST, DALLAS, NC 28034-1544
(704) 922-3106
(704) 922-1369
Mailing address
701 W TRADE ST, DALLAS, NC 28034-1544
(704) 922-3106
(704) 922-1369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911865
—
NC
Enumeration date
06/25/2009
Last updated
07/27/2011
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