MEDICARE: KRMC GROUP, 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
1	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750423901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRMC GROUP, INC.

Provider Business Mailing Address
First Line	:	PO BOX 729
Second Line	:
City	:	CARRBORO
State	:	NC
Zip	:	27510-0729
Country	:	US
Telephone Number	:	336-841-5400
Fax Number	:	336-841-7200

Provider Business Practice Location Address
First Line	:	3931 TINSLEY DR STE 104
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-1533
Country	:	US
Telephone Number	:	336-841-5400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT JOSEPH COSGROVE
Credential	:
Telephone Number	:	336-420-4658

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	10/05/2011

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Directions to “KRMC GROUP, INC. ” Practice Location

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