Organization · NPI-2

Caromont Internal Medicine 2llc

Clinic/Center · Gastonia, NC

NPI number1114190881
StatusActive
Last updated in NPPESApr 2, 2008

Details

NPI
1114190881
Entity type
Organization (NPI-2)
Legal business name
Caromont Internal Medicine 2llc
Organization subpart
No
Enumeration date
Apr 2, 2008
Last updated
Apr 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1867 Remount Rd Ste D
Gastonia, NC 28054-7401

Phone 404-943-0205

Mailing address

Po Box 468329
Atlanta, GA 31146-8329

Authorized official

Alicia Holden
Lead
4049430205

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