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CAROLINA MEDICORP ENTERPRISES INC NPI 1003207960


NPI Information

NPI: 1003207960
Provider Name: CAROLINA MEDICORP ENTERPRISES INC

Doing Business As: NOVANT HEALTH URGENT CARE AND OCCUPATIONAL MEDICINE

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 34D0655340

Address:
445 SOUTH KINGS DRIVE
CHARLOTTE, NC
ZIP 28204
Phone: (704) 384-1734
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CAROLINA MEDICORP ENTERPRISES INC is an emergency medicine in Charlotte, NC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CAROLINA MEDICORP ENTERPRISES INC NPI is 1003207960. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Urgent Care And Occupational Medicine.

The provider's business location address is:

445 SOUTH KINGS DRIVE
CHARLOTTE, NC
ZIP 28204-041
Phone: (704) 384-1734
Fax: (704) 384-1736

The provider's authorized official is Geoffrey Gardner .
The authorized official title is Vp Finance and has the following contact phone number (704) 384-1734.

The CLIA number assigned to this NPI record is 34D0655340 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/13/2015 and was last updated on 10/21/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207P00000XEmergency 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.