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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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