Organization
CS CMG LLC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
Carolina Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
MS. VALINDA L RUTLEDGE (PRESIDENT)
(704) 834-2121
Entity
Organization
Contact information
Practice address
1089 X RAY DR, GASTONIA, NC 28054-7489
(704) 864-8377
(704) 864-4442
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054
(704) 671-5307
(704) 834-4615
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
06/23/2010
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