| Caromont Medical Group Inc | |
|
105 Elm Street Mcadenville NC 28101-0490 | |
| (704) 824-5323 | |
| (704) 824-5410 |
| Full Name | Caromont Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Elm Street, Mcadenville, 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 105 Elm Street Mcadenville NC 28101-0490 Ph: (704) 824-5323 |
| NPI Number | 1003097023 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003097023 | NPI | - | NPPES |
| 890151P | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |