| Caromont Medical Group Inc | |
|
815 Cox Rd Gastonia NC 28054-3453 | |
| (704) 865-1700 | |
| (704) 865-7948 |
| Full Name | Caromont Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 815 Cox Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | David Michael Oconnor (CFO) |
| Authorized Official Contact | 7046715343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caromont Medical Group Inc Po Box 744786 Atlanta GA 30374-4786 Ph: (704) 834-2450 | Caromont Medical Group Inc 815 Cox Rd Gastonia NC 28054-3453 Ph: (704) 865-1700 |
| NPI Number | 1730354978 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730354978 | NPI | - | NPPES |
| 5909259 | Medicaid | NC | |
| 020G1 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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