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Organization
NOVANT MEDICAL GROUP, INC
Active
Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Adult Medicine at Piedmont Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY GARDNER (VP FINANCE)
(704) 384-9094
Entity
Organization
Contact information
Practice address
100 HEDRICK DR, THOMASVILLE, NC 27360-6009
(336) 474-3777
(336) 474-8932
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917805
—
NC
Enumeration date
04/14/2011
Last updated
11/29/2013
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