CAROLINA MEDICORP ENTERPRISES LLC NPI 1902209539

NPI Information

  • NPI: 1902209539
  • Provider Name: CAROLINA MEDICORP ENTERPRISES, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH EXPRESS
  • CLIA Number: 34D2302600
  • Address: 622 INDIAN TRAIL RD S
    INDIAN TRAIL, NC
    ZIP 28079
  • Phone: (704) 384-1575

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NPI Details

CAROLINA MEDICORP ENTERPRISES, LLC is a family medicine in Indian Trail, 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, LLC NPI is 1902209539. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Express.

The provider's business location address is:

622 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079-680
Phone: (704) 384-1575
Fax: (704) 384-1576

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 384-7203.

The CLIA number assigned to this NPI record is 34D2302600 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2014 and was last updated on 9/5/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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