Carolina Medicorp Enterprises, LLC
NPI #1902209539 in Indian Trail, North Carolina
Provider Information
- NPI Number
- 1902209539
- Entity Type
- Organization
- Organization Name
- Carolina Medicorp Enterprises, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 26, 2014
- Last Updated
- Sep 5, 2024
Practice Location
- Address
- 622 INDIAN TRAIL RD S
- City
- Indian Trail
- State
- North Carolina
- ZIP Code
- 28079-9680
- Phone
- (704) 384-1575
Authorized Official
- Name
- GEOFFREY K GARDNER
- Title
- VP OF FINANCE
- Phone
- (704) 384-7203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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