CAROMONT MEDICAL GROUP INC. NPI 1720377625

NPI Information

NPI: 1720377625
Provider Name: CAROMONT MEDICAL GROUP, INC.

Doing Business As: CAROLINAS PLASTIC SURGERY CENTER

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
2391 COURT DR
SUITE 120B
GASTONIA, NC
ZIP 28054
Phone: (704) 874-0095
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CAROMONT MEDICAL GROUP, INC. is a plastic and reconstructive surgery surgery in Gastonia, NC. The provider is a surgeon who specializes in plastic and reconstructive surgery. CAROMONT MEDICAL GROUP, INC. NPI is 1720377625. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carolinas Plastic Surgery Center.

The provider's business location address is:

2391 COURT DR
SUITE 120B
GASTONIA, NC
ZIP 28054-196
Phone: (704) 874-0095
Fax: (704) 866-8680

The provider's authorized official is David Michael Oconnor .
The authorized official title is Cfo and has the following contact phone number (704) 834-2049.

The enumeration date for this NPI number is 3/31/2011 and was last updated on 8/9/2022.

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
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1720377625	MEDICAID	NORTH CAROLINA
2	024W3	OTHER	NORTH CAROLINA	BCBS

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

NPI Synchronization or Removal

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