Organization
CAROLINA MEDICORP ENTERPRISES, INC
Active
Other names
Novant Health Urgent Care & Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP FINANCE)
70438499490
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 175, CHARLOTTE, NC 28207-1107
(704) 316-1050
(704) 316-1051
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 316-1050
(704) 316-1051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
08/05/2011
Last updated
11/13/2013
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