# NOVANT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Triad Rheumatology & Arthritis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073951166
- **Authorized official:** MR. GEOFFREY KEITH GARDNER (VP FINANCE)
- **Authorized official phone:** 7043365644410

## Contact information

- **Practice address:** 445 PINEVIEW DR, SUITE 200, KERNERSVILLE, NC 27284-3817
- **Practice address phone:** (336) 564-4410
- **Practice address fax:** (336) 992-2551
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-7847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 07/19/2013