| Carolina Medicorp Enterprises Inc | |
|
6816 Matthews-mint Hill Road Suite 101 Mint Hill NC 28227-9324 | |
| (704) 316-3601 | |
| (704) 316-3602 |
| Full Name | Carolina Medicorp Enterprises Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6816 Matthews-mint Hill Road, Mint Hill, North Carolina |
| Authorized Official Name and Position | Geoffrey Keith Gardner (VP FINANCE) |
| Authorized Official Contact | 7043847603 |
| 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) 316-3601 | Carolina Medicorp Enterprises Inc 6816 Matthews-mint Hill Road Suite 101 Mint Hill NC 28227-9324 Ph: (704) 316-3601 |
| NPI Number | 1063806792 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063806792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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