Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Neurology
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
815 COX RD, GASTONIA, NC 28054-3453
(704) 865-1700
(704) 865-7948
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 865-7948
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020G1
BCBS
NC
05
—
5909259
—
NC
Enumeration date
04/29/2008
Last updated
08/09/2022
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