Carolina Medicorp Enterprises, INC
NPI #1104239953 in Davidson, North Carolina
Provider Information
- NPI Number
- 1104239953
- Entity Type
- Organization
- Organization Name
- Carolina Medicorp Enterprises, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 10, 2014
- Last Updated
- Aug 19, 2014
Practice Location
- Address
- 610 JETTON ST
- Address 2
- SUITE 214
- City
- Davidson
- State
- North Carolina
- ZIP Code
- 28036-9320
- Phone
- (704) 384-1555
Authorized Official
- Name
- GEOFFREY K GARDNER
- Title
- VP OF FINANCE
- Phone
- (704) 384-7203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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