| Carolina Medicorp Enterprises Inc | |
|
445 South Kings Drive Charlotte NC 28204-3041 | |
| (704) 384-1734 | |
| (704) 384-1736 |
| Full Name | Carolina Medicorp Enterprises Inc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 445 South Kings Drive, Charlotte, North Carolina |
| Authorized Official Name and Position | Geoffrey Gardner (VP FINANCE) |
| Authorized Official Contact | 7043841734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Medicorp Enterprises Inc Po Box 751803 Charlotte NC 28275-1803 Ph: (704) 384-1734 | Carolina Medicorp Enterprises Inc 445 South Kings Drive Charlotte NC 28204-3041 Ph: (704) 384-1734 |
| NPI Number | 1003207960 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 10/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003207960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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