# NOVANT MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Sleep Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124511985
- **Authorized official:** GEOFFREY K GARDNER (VICE PRESIDENT - FINANCE)
- **Authorized official phone:** (704) 384-7840

## Contact information

- **Practice address:** 152 E KINDERTON WAY STE 101, BERMUDA RUN, NC 27006
- **Practice address phone:** (336) 893-3170
- **Practice address fax:** (336) 893-3179
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 316-4645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2018
- **Last updated:** 07/12/2018