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Organization
NOVANT MEDICAL GROUP, INC
Active
Organization
NOVANT MEDICAL GROUP, INC
Active
Other names
Novant Health Thoracic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP OF FINANCE)
(704) 384-7840
Entity
Organization
Contact information
Practice address
301 HAWTHORNE LN STE 200, CHARLOTTE, NC 28204-2467
(704) 384-7606
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25806
NC
261QX0200X
Oncology Clinic/Center
—
NULL
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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