Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Podiatry, CaroMont Foot and Ankle
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
DAVID MICHAEL OCONNOR (CFO)
(704) 671-5343
Entity
Organization
Contact information
Practice address
2391 COURT DR STE 100, GASTONIA, NC 28054-2197
(980) 834-7300
(980) 834-9874
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02G2B
BCBS OF NC
NC
05
—
1457913006
—
NC
Enumeration date
07/03/2019
Last updated
08/25/2022
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