Organization
CAROLINA MEDICORP ENTERPRISES, LLC
Active
Other names
Novant Health Express
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7203
Entity
Organization
Contact information
Practice address
622 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079-9680
(704) 384-1575
(704) 384-1576
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-1575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
09/05/2024
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