NPI 1003207960

Carolina Medicorp Enterprises INC

Organisation Emergency Medicine Physician Charlotte, NC

Practice location

Address: 445 South Kings Drive, Charlotte, NC 28204-3041
Phone: (704) 384-1734
Fax: (704) 384-1736
Mailing address: PO Box 751803, Charlotte, NC 28275-1803

Authorised official

Name: Geoffrey Gardner
Title: Vp Finance
Phone: (704) 384-1734

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in North Carolina →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in North Carolina →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in North Carolina →

Registry record

NPI: 1003207960
Entity type: Organization
NPI issued: 13 Feb 2015
Record last updated: 21 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.