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Organization

CAROMONT MEDICAL GROUP INC

Active
Parent organization
CAROMONT MEDICAL GROUP INC
Other names
CaroMont Family Medicine
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
1895 HOFFMAN ROAD, SUITE A, GASTONIA, NC 28054-6557
(704) 865-1749
(704) 865-7328
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0165A
BCBS
NC
05
1982883583
NC
Enumeration date
10/31/2007
Last updated
08/09/2022
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