Organization
CAROLINA MEDICORP ENTERPRISES INC
Active
Other names
Novant Health OB/GYN Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY KEITH GARDNER (VP FINANCE)
(704) 384-7603
Entity
Organization
Contact information
Practice address
11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277-4821
(704) 316-4440
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 316-4440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
06/07/2017
Last updated
11/09/2018
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