Organization
CAROMONT MEDICAL GROUP INC
Active
Other names
Carolina Heart Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE F. SHOVELIN (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 867-2141
(704) 867-2308
Mailing address
2555 COURT DR, STE 200, GASTONIA, NC 28054-2134
(704) 867-2141
(704) 867-2308
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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