Organization
CAROMONT MEDICAL GROUP, INC.
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Infectious Disease Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
DAVID MICHAEL OCONNOR (CFO)
(704) 834-2049
Entity
Organization
Contact information
Practice address
2555 COURT DR STE 350, GASTONIA, NC 28054-2186
(704) 834-2465
(704) 834-2466
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568643583
—
NC
Enumeration date
11/19/2007
Last updated
08/09/2022
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