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CAROMONT MEDICAL GROUP INC. NPI 1114420254


NPI Information

NPI: 1114420254
Provider Name: CAROMONT MEDICAL GROUP, INC.

Doing Business As: CAROMONT FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2157700

Address:
600 W TRADE ST STE A
DALLAS, NC
ZIP 28034
Phone: (980) 834-9130
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CAROMONT MEDICAL GROUP, INC. is a family medicine in Dallas, 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. CAROMONT MEDICAL GROUP, INC. NPI is 1114420254. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Caromont Family Medicine.

The provider's business location address is:

600 W TRADE ST STE A
DALLAS, NC
ZIP 28034-543
Phone: (980) 834-9130
Fax: (980) 834-9135

The provider's authorized official is David M Oconnor .
The authorized official title is Cfo and has the following contact phone number (704) 671-5343.

The CLIA number assigned to this NPI record is 34D2157700 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2018 and was last updated on 4/20/2023.


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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