Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Other names
Novant Health Urgent Care & Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFERY K GARDNER (VP OF FINANCE)
(571) 284-4245
Entity
Organization
Contact information
Practice address
10322 BRISTOW CENTER DR, BRISTOW, VA 20136-2201
(571) 284-4245
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(571) 284-4245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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