Carolina Medicorp Enterprises, INC

NPI #1710945696 in Kernersville, North Carolina

Provider Information

NPI Number: 1710945696
Entity Type: Organization
Organization Name: Carolina Medicorp Enterprises, INC
Subpart: Yes (part of a larger organization)
Parent Organization: CAROLINA MEDICORP ENTERPRISES, INC
Primary Specialty: Family Medicine
Enumeration Date: May 2, 2006
Last Updated: Oct 9, 2007

Practice Location

Address: 111 GATEWAY CENTER DR
Address 2: DBA PRIMECARE KERNERSVILLE
City: Kernersville
State: North Carolina
ZIP Code: 27284-2999
Phone: (336) 996-2173

Authorized Official

Name: PAUL M. BARRY, MD
Title: MEDICAL DIRECTOR
Phone: (336) 774-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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