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Caromont Medical Group INC

Surgery in Gastonia, NC. Organization (NPI-2).

NPI number1912296385
StatusActive
Last updated in NPPESAug 9, 2022

Details

NPI
1912296385
Entity type
Organization (NPI-2)
Legal business name
Caromont Medical Group INC
Organization subpart
Yes
Enumeration date
Apr 6, 2011
Certification date
Aug 9, 2022
Last updated
Aug 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Other names

  • Caromont Health Cancer Clinic (Doing Business As)

Practice location

2525 Court Dr
Gastonia, NC 28054-2140

Phone 704-834-2000 · Fax 704-834-2500

Mailing address

Po Box 744786
Atlanta, GA 30374-4786

Phone 704-834-2450 · Fax 704-671-5331

Authorized official

David Michael Oconnor
Cfo
7048342049

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