# NOVANT MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Cherokee Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053658526
- **Authorized official:** MR. GEOFFREY KEITH GARDNER (VP FINANCE)
- **Authorized official phone:** (704) 384-9094

## Contact information

- **Practice address:** 1506 N LIMESTONE ST, SUITE D, GAFFNEY, SC 29340-4747
- **Practice address phone:** (864) 489-6864
- **Practice address fax:** (864) 489-1477
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/18/2013