Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Other names
Novant Health Pediatric Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K GARDNER (VP FINANCE)
(704) 384-1734
Entity
Organization
Contact information
Practice address
445 S KINGS DR, CHARLOTTE, NC 28204-3041
(704) 384-1734
(704) 384-1736
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 765-0710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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