CAROLINA MEDICORP ENTERPRISES LLC NPI 1760950646

NPI Information

  • NPI: 1760950646
  • Provider Name: CAROLINA MEDICORP ENTERPRISES, LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH GOHEALTH URGENT CARE
  • CLIA Number: 34D2092549
  • Address: 445 S KINGS DR
    CHARLOTTE, NC
    ZIP 28204
  • Phone: (980) 308-0141

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NPI Details

CAROLINA MEDICORP ENTERPRISES, LLC is an urgent care clinic center in Charlotte, NC. CAROLINA MEDICORP ENTERPRISES, LLC NPI is 1760950646. The provider is registered as an organization entity type.
The provider Is Doing Business As Novant Health Gohealth Urgent Care.

The provider's business location address is:

445 S KINGS DR
CHARLOTTE, NC
ZIP 28204-041
Phone: (980) 308-0141
Fax: (980) 308-0140

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D2092549 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 9/25/2024.

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
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

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This page was last updated on: 3/30/2025

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