Provider Demographics
NPI:1417203381
Name:CAROMED INC
Entity Type:Organization
Organization Name:CAROMED INC
Other - Org Name:CAROLINA MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-542-2191
Mailing Address - Street 1:7108 PINEVILLE MATTHEWS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8380
Mailing Address - Country:US
Mailing Address - Phone:704-542-2191
Mailing Address - Fax:704-542-0401
Practice Address - Street 1:7108 PINEVILLE MATTHEWS RD STE 102
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8380
Practice Address - Country:US
Practice Address - Phone:704-542-2191
Practice Address - Fax:704-542-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30483207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty