Organization
CAROMONT SPECIALTY GROUP LLC
Active
Other names
Carolina Cardiovascular and Thoracic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
VALINDA L. RUTLEDGE (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7622
Mailing address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 671-7670
(704) 671-7622
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900374
—
NC
Enumeration date
11/27/2007
Last updated
06/09/2010
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