NPI 1013386895

Carolina Medicorp Enterprises, INC

Organisation Emergency Medicine Physician Charlotte, NC

Practice location

Address: 11840 Southmore Dr Suite 100, Charlotte, NC 28277-4466
Phone: (704) 316-4440
Fax: (704) 316-4441
Mailing address: PO Box 751803, Charlotte, NC 28275-1803

Authorised official

Name: Geoffrey Keith Gardner
Title: Vp Finance
Phone: (704) 384-7603

Registered specialties (2)

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 →

Registry record

NPI: 1013386895
Entity type: Organization
NPI issued: 22 Sep 2015
Record last updated: 22 Sep 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.