Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Other names
Novant Health Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFERY GARDNER (VP FINANCE)
(336) 564-4341
Entity
Organization
Contact information
Practice address
4012 BATTLEGROUND AVE STE B, 1020, GREENSBORO, NC 27410-8592
(336) 564-4341
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 564-4341
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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