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NPI Code Detail

MEDICARE: CAROLINA MEDICORP ENTERPRISES, INC

MEDICARE: CAROLINA MEDICORP ENTERPRISES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2207Q00000XFamily Medicine Physician
3363A00000XPhysician Assistant
4363L00000XNurse Practitioner

General Provider Information

NPI Number : 1144288085
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA MEDICORP ENTERPRISES, INC
Provider Business Mailing Address
First Line : 2000 FRONTIS PLAZA BLVD STE 200
Second Line : (ATTN) FORSYTH MEDICAL GROUP
City : WINSTON SALEM
State : NC
Zip : 27103-5616
Country : US
Telephone Number : 336-277-2435
Fax Number : 336-277-9275
Provider Business Practice Location Address
First Line : 501 HICKORY BRANCH DR
Second Line : DBA PRIMECARE HICKORY BRANCH
City : GREENSBORO
State : NC
Zip : 27409-9601
Country : US
Telephone Number : 336-878-2260
Fax Number : 336-878-2277
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : PAUL M. BARRY
Credential :
Telephone Number : 336-774-0040
Provider Enumeration Date : 05/02/2006
Last Update Date : 09/11/2025

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Directions to “CAROLINA MEDICORP ENTERPRISES, INC ” Practice Location

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