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CAROLINA MEDICORP ENTERPRISES INC NPI 1295170207


NPI Information

NPI: 1295170207
Provider Name: CAROLINA MEDICORP ENTERPRISES INC

Doing Business As: NOVANT HEALTH EXPRESS CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2062713

Address:
1122 RANDOLPH ST
THOMASVILLE, NC
ZIP 27360
Phone: (336) 474-3433
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CAROLINA MEDICORP ENTERPRISES INC is a family medicine in Thomasville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAROLINA MEDICORP ENTERPRISES INC NPI is 1295170207. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Express Care.

The provider's business location address is:

1122 RANDOLPH ST
THOMASVILLE, NC
ZIP 27360-175
Phone: (336) 474-3433
Fax: (336) 474-1052

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Nmg Finance and has the following contact phone number (704) 384-7605.

The CLIA number assigned to this NPI record is 34D2062713 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2013 and was last updated on 7/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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