Organization
CAROMONT MEDICAL GROUP INC
Active
Organization
CAROMONT MEDICAL GROUP INC
Active
Other names
CaroMont Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
VALINDA RUTLEDGE (PRESIDENT, CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
2555 COURT DR, STE 450, GASTONIA, NC 28054-2134
(704) 671-7670
Mailing address
2555 COURT DR, STE 450, GASTONIA, NC 28054-2134
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913804
—
NC
Enumeration date
10/07/2009
Last updated
06/09/2010
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