Organization
CAROMONT MEDICAL GROUP, INC.
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Urgent Care
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
1201 VILLAGE HARBOR DR STE 104, LAKE WYLIE, SC 29710-9276
(803) 831-6859
(803) 831-6860
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
08/09/2022
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