Carolina Medicorp Enterprises INC

NPI #1164815262 in Warrenton, Virginia

Provider Information

NPI Number: 1164815262
Entity Type: Organization
Organization Name: Carolina Medicorp Enterprises INC
Primary Specialty: Family Medicine
Enumeration Date: Mar 13, 2015
Last Updated: Aug 19, 2015

Practice Location

Address: 480 FLETCHER DR
Address 2: SUITE 3
City: Warrenton
State: Virginia
ZIP Code: 20186-2185
Phone: (704) 384-7603

Authorized Official

Name: MR. GEOFFREY K GARDNER
Title: VP FINANCE
Phone: (704) 384-7603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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