Organization
CAROMONT MEDICAL GROUP INC
Active
Other names
Atrium Women's Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE F SHOVELIN (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2544 COURT DR, STE A, GASTONIA, NC 28054-3450
(704) 865-9509
(704) 671-7482
Mailing address
2544 COURT DR, STE A, GASTONIA, NC 28054-3450
(704) 865-9509
(704) 671-7482
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016R3
—
NC
Enumeration date
10/30/2007
Last updated
10/30/2007
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