Organization · Type 2 NPI

Caromont Medical Group, Inc.

Plastic and Reconstructive Surgery Physician · Gastonia, NC

NPI number 1720377625 Active

Practice location

2391 Court Dr Ste 120B
Gastonia, NC 28054-2196

Call (704) 874-0095 Map

Fax (704) 866-8680

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

Other plastic and reconstructive surgery physician providers in Gastonia

Southeastern Plastic Surgery PCPlastic and Reconstructive Surgery Physician Gastonia, NC NPI 1821068891

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NPI record

NPI: 1720377625
Entity type: Organization (Type 2)
Issued: Mar 31, 2011
Last updated: Aug 18, 2026
Status: Active
Subpart: Yes of Caromont Medical Group Inc

Other names

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Carolinas Plastic Surgery Center · doing business as
Carolinas Plastic Surgery Center · doing business as

Authorized official

David Michael Oconnor
CFO
(704) 834-2049

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About NPI 1720377625

Caromont Medical Group, Inc.'s National Provider Identifier is 1720377625, issued on Mar 31, 2011. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Gastonia, NC. The record was last updated on Aug 18, 2026.