Caromont Family Medicine | |
2711 X Ray Dr Gastonia NC 28054-7491 | |
(704) 834-2420 | |
(704) 834-2426 |
Full Name | Caromont Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 2711 X Ray Dr, Gastonia, North Carolina |
Authorized Official Name and Position | David Michael Oconnor (CFO) |
Authorized Official Contact | 7048342049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Caromont Family Medicine Po Box 744786 Atlanta GA 30374-4786 Ph: (704) 834-2450 | Caromont Family Medicine 2711 X Ray Dr Gastonia NC 28054-7491 Ph: (704) 834-2420 |
NPI Number | 1538340559 |
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Provider Enumeration Date | 11/19/2007 |
Last Update Date | 08/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538340559 | NPI | - | NPPES |
890119Y | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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