Organization · Type 2 NPI

Caromont Medical Group Inc

Foot & Ankle Surgery Podiatrist · Gastonia, NC

NPI number 1457913006 Active

Practice location

2391 Court Dr Ste 100
Gastonia, NC 28054-2197

Call (980) 834-7300 Map

Fax (980) 834-9874

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Specialties and licenses

Taxonomy	Code	License
Podiatrist	213E00000X	None listed
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

Another provider at this address

Melanie Jessup Eubanks, DPMFoot & Ankle Surgery Podiatrist Gastonia, NC NPI 1780634386

NPI record

NPI: 1457913006
Entity type: Organization (Type 2)
Issued: Jul 3, 2019
Last updated: Aug 25, 2022
Status: Active
Subpart: Yes of Caromont Medical Group Inc

Other names

<unavail>
Caromont Foot and Ankle · doing business as
Caromont Podiatry · former legal business name

Authorized official

David Michael Oconnor
CFO
(704) 671-5343

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457913006

Caromont Medical Group Inc's National Provider Identifier is 1457913006, issued on Jul 3, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Gastonia, NC. The record was last updated on Aug 25, 2022.