| Caromont Medical Group Inc | |
|
2240 Remount Rd Gastonia NC 28054-4725 | |
| (704) 671-5344 | |
| (704) 671-5331 |
| Full Name | Caromont Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2240 Remount Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Valinda L Rutledge (PRESIDENT, CEO) |
| Authorized Official Contact | 7048342133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caromont Medical Group Inc 2240 Remount Rd Gastonia NC 28054-4725 Ph: (704) 671-5311 | Caromont Medical Group Inc 2240 Remount Rd Gastonia NC 28054-4725 Ph: (704) 671-5344 |
| NPI Number | 1306966601 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306966601 | NPI | - | NPPES |
| 5900254 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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