Organization
CAROMONT MEDICAL GROUP INC
Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Health Cancer Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROMONT MEDICAL GROUP INC
Authorized official
DAVID MICHAEL OCONNOR (CFO)
(704) 834-2049
Entity
Organization
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
(704) 834-2500
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917854
—
NC
Enumeration date
04/06/2011
Last updated
08/09/2022
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