Carolina Medicorp Enterprises INC

NPI #1689045239 in Bristow, Virginia

Provider Information

NPI Number
1689045239
Entity Type
Organization
Organization Name
Carolina Medicorp Enterprises INC
Primary Specialty
Emergency Medicine
Enumeration Date
Oct 8, 2015
Last Updated
Oct 8, 2015

Practice Location

Address
10322 BRISTOW CENTER DR
ZIP Code
20136-2201
Phone
(571) 284-4245

Authorized Official

Name
GEOFFERY K GARDNER
Title
VP OF FINANCE
Phone
(571) 284-4245

Specialties & Taxonomy Codes

Specialty
Family Medicine
Emergency Medicine

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