Caromont- South Point LLC
Organization Active NPI Family Medicine Physician · Belmont, NC
NPI 1609057629 · NPPES record last updated Jun 10, 2015
Key facts
- NPI
- 1609057629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROMONT- SOUTH POINT LLC
- Practice address
- 1220 Spruce St
Belmont, NC 28012-3370 - Phone
- (704) 825-5333
- Fax
- (704) 825-1751
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Douglas Luckett
- Title
- President, Ceo
- Phone
- (704) 834-2133
Member of 1
Member organizations 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1220 Spruce St
Belmont, NC 28012-3370
Mailing address
1220 Spruce St
Belmont, NC 28012-3370
Phone (704) 825-5333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905651 | Medicaid | NC |
Other names
- South Point Family Practice
Other providers in Belmont, NC
- Caromont Medical Group Inc
- Caromont Medical Group Inc
- Caromont Medical Group, Inc.
- Caromont Medical Group, Inc.
- Caromont Partners LLC
- Caromont- South Point LLC
- Margaret Carpenter
- Jennifer Carrick
- Krystle Elizabeth Carrigan
- Catawba Counseling Associates, PLLC
All providers in Belmont, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.