# NOVANT MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Psychiatric Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144534942
- **Authorized official:** GEOFFREY K. GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-1246

## Contact information

- **Practice address:** 16525 HOLLY CREST LN, SUITE 210, HUNTERSVILLE, NC 28078-4912
- **Practice address phone:** (704) 384-1246
- **Practice address fax:** (704) 384-1249
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (704) 384-1246
- **Mailing address fax:** (704) 384-1249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2010
- **Last updated:** 07/05/2013