Organization
CAROLINA MEDICORP ENTERPRISES, INC
Active
Other names
Novant Health Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF NMG FINANCE)
(704) 384-9144
Entity
Organization
Contact information
Practice address
4136 CLEMMONS RD, CLEMMONS, NC 27012-7520
(336) 893-3270
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 893-3270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
03/31/2016
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